— 健康促進與維護 · HARD · MCQ —
一位 60 歲病人預計接種流感疫苗。下列哪項評估結果需要護理師暫緩接種？
A 60-year-old client is scheduled for a flu vaccine. Which assessment finding would require the nurse to withhold the vaccine?
- AHistory of Guillain-Barré syndrome within 6 weeks of a previous flu shot✓ 正解先前接種流感疫苗後 6 週內曾有格林-巴利症候群病史
- BHistory of mild upper respiratory infection輕微上呼吸道感染病史
- CCurrent low-grade fever of 100.2°F (37.9°C)目前低燒 100.2°F (37.9°C)
- DTaking daily medication for hypertension每日服用高血壓藥物
— Explanation · 中文詳解 —
疫苗接種的禁忌症（Contraindications）評估至關重要。Guillain-Barré 症候群（GBS）與流感疫苗接種具有潛在的關聯性，若病人在既往接種後 6 週內曾發生 GBS，則為接種流感疫苗的絕對禁忌。輕微感冒或低燒（小於 38°C）通常不視為接種禁忌。高血壓控制良好並非疫苗禁忌。護理師在接種前詢問病史，是確保病人安全的關鍵。
A history of Guillain-Barré syndrome occurring within six weeks of a previous influenza vaccination is a contraindication to receiving the flu vaccine due to the risk of recurrence. Mild illnesses or low-grade fevers do not preclude vaccination.