— 藥理與非經腸給藥 · HARD · SATA —
病人被處方一種已知具耳毒性（Ototoxic）的抗生素。護理師應監測哪些症狀？（選所有適合的）
A client is prescribed an antibiotic that is known to be potentially ototoxic. Which symptom should the nurse monitor for? (Select all that apply.)
- ATinnitus✓ 正解耳鳴
- BVertigo✓ 正解眩暈
- CHearing loss✓ 正解聽力喪失
- DBlurred vision視力模糊
- ENausea噁心
— Explanation · 中文詳解 —
耳毒性藥物（如氨基糖苷類抗生素）會損害第八對腦神經（聽神經）。其表現包括耳鳴（Tinnitus）、眩暈（Vertigo）以及聽力下降（Hearing loss）。視覺模糊與噁心通常與耳毒性無直接關聯，除非噁心是因眩暈引起的次發症狀，但在藥理考題中不歸類為耳毒性直接徵兆。
Ototoxic antibiotics can damage the eighth cranial nerve, leading to symptoms such as tinnitus, vertigo, and hearing loss. These signs indicate cochlear or vestibular involvement, whereas blurred vision and nausea are not direct indicators of ototoxicity.
✦ 台美臨床差異
美國醫護系統常會進行藥物療程中的聽力篩檢，台灣則多由醫護詢問病人主觀感受為主。