— 降低風險 · HARD · MCQ —
護理師正在照顧一位接受血管活性藥物（如去甲腎上腺素）持續輸注的病人。下列哪項評估最關鍵，用於監測輸注的有效性和安全性？
A nurse is caring for a client who is receiving a continuous infusion of a vasoactive medication (e.g., norepinephrine). Which assessment is most critical for monitoring the effectiveness and safety of the infusion?
- AClient's temperature病人的體溫
- BClient's respiratory rate and SpO2病人的呼吸頻率與血氧飽和度
- CClient's blood pressure and heart rate✓ 正解病人的血壓與心率
- DClient's urine output病人的尿量
— Explanation · 中文詳解 —
血管活性藥物（Vasoactive medications，如去甲腎上腺素）主要用於維持血壓與灌流。其藥理作用極強且半衰期短，對血流動力學影響劇烈。持續輸注期間，護理師最關鍵的評估是連續監測血壓（BP）與心率（HR），以確保藥物療效（血壓維持在目標範圍）並即時發現副作用（如心律不整、組織缺血）。這是病人安全與藥物有效性監測的生命線。
Vasoactive medications like norepinephrine have potent effects and short half-lives, requiring continuous hemodynamic monitoring to ensure efficacy and safety. The most critical assessments are blood pressure and heart rate, which directly indicate whether the drug is maintaining target perfusion or causing adverse effects such as arrhythmias or tissue ischemia.