— 生理適應 · EASY · MCQ —
病人預定進行心導管檢查。護理師最需要評估病人對哪種物質過敏？
A client is scheduled for a cardiac catheterization. Which allergy is most important for the nurse to assess?
- APenicillin青黴素
- BIodine or shellfish✓ 正解碘或海鮮
- CPeanuts花生
- DLatex乳膠
— Explanation · 中文詳解 —
心導管檢查需要使用顯影劑（Contrast dye），而顯影劑通常含有碘。對碘或海鮮（含碘量高）過敏的病人發生顯影劑過敏反應的風險較高。乳膠（D）也很重要但非心導管專屬核心風險；青黴素（A）與此操作無直接關聯。
Cardiac catheterization involves the use of iodine-based contrast media, making it critical to assess for allergies to iodine or shellfish, which may indicate a higher risk of hypersensitivity reactions. While latex allergies are important for all invasive procedures, the specific risk associated with contrast dye makes iodine/shellfish history the priority assessment.
✦ 台美臨床差異
雖然近年研究認為海鮮過敏與碘過敏無必然關係，但 NCLEX 考題仍常將兩者關聯作為顯影劑過敏的篩檢指標。