— 降低風險 · HARD · MCQ —
病人預計進行需使用碘對比劑的診斷檢查，護理師優先評估重點為何？
A client is scheduled for a diagnostic procedure involving iodine-based contrast medium. What is the nurse's priority assessment?
- ABlood pressure and heart rate血壓和心率
- BCurrent blood glucose levels當前血糖水平
- CHistory of allergies to seafood or iodine✓ 正解海鮮或碘過敏史
- DHistory of claustrophobia幽閉恐懼症病史
— Explanation · 中文詳解 —
碘對比劑可能引發嚴重過敏反應（過敏性休克）。評估過敏史是降低風險的首要任務。雖然對海鮮過敏不完全等於對碘過敏，但臨床上仍是評估過敏反應的高風險指標。及早偵測過敏史能讓醫療團隊預先處置，避免致命性的過敏休克。
The priority assessment is a history of allergies, particularly to seafood or iodine, because iodine-based contrast media can trigger severe anaphylactic reactions. Identifying these allergies allows the healthcare team to take preventive measures to avoid life-threatening complications such as anaphylaxis.
✦ 台美臨床差異
美國放射科對於造影前過敏評估有標準化篩檢清單，台灣則多透過術前告知單與醫囑確認。