— 藥理與非經腸給藥 · HARD · MCQ —
一位有氣喘病史的病人被開立新的非選擇性乙型阻斷劑（Beta-blocker）。護理師應採取什麼行動？
A nurse is caring for a client with a history of asthma who is prescribed a new non-selective beta-blocker. Which action should the nurse take?
- AConsult the provider about the contraindication with asthma✓ 正解就氣喘的禁忌症諮詢醫師
- BAdminister the medication as ordered依指示給藥
- CAssess the client's skin for rashes評估病人皮膚是否有皮疹
- DMonitor the client's blood glucose levels監測病人的血糖
— Explanation · 中文詳解 —
非選擇性 Beta-blocker（如 Propranolol）會同時阻斷 Beta-2 受體，引起支氣管收縮，對氣喘病人有加重氣管痙攣的風險。護理師應評估此醫囑是否適當，並諮詢醫師是否有替代藥物（如選擇性 Beta-1 阻斷劑）。
Non-selective beta-blockers antagonize both beta-1 and beta-2 receptors, which can induce bronchoconstriction and exacerbate asthma symptoms. The nurse must question this prescription due to the contraindication and consult the provider for a safer alternative, such as a cardioselective beta-blocker, to ensure client safety.
✦ 台美臨床差異
兩地均強調護理師在用藥決策中的安全性把關角色，此類藥物交互作用屬於基本的藥理學評估範圍。