— 藥理與非經腸給藥 · MEDIUM · MCQ —
護理師正給予哌拉西林-他唑巴坦（piperacillin-tazobactam）的靜脈輸注。病人發生腹瀉。最恰當的護理措施是什麼？
A nurse is administering an IV infusion of piperacillin-tazobactam. The client develops diarrhea. Which nursing action is most appropriate?
- AAsk the client if they have recently eaten anything unusual.詢問病人最近是否有食用不尋常的食物
- BEncourage fluid intake and monitor the client.✓ 正解鼓勵補充水分並監測病人
- CAdminister an antidiarrheal medication immediately.立即給予止瀉藥物
- DStop the infusion and notify the physician.停止輸注並通知醫師
— Explanation · 中文詳解 —
抗生素治療期間發生輕微腹瀉是常見的副作用，原因在於腸道菌群平衡被破壞。除非伴隨嚴重的脫水、發燒、腹痛或血便，否則不應立即給予止瀉藥，因為這可能掩蓋潛在的偽膜性腸炎（Clostridioides difficile infection）。最合適的護理措施是監測病情，鼓勵補充水分以維持電解質平衡，並觀察腹瀉頻率與特徵，必要時再回報醫師。
Antibiotic-induced diarrhea is a common side effect due to disruption of normal gut flora, so the priority is maintaining hydration and monitoring the client's status. Immediate administration of antidiarrheals is avoided to prevent masking symptoms of serious conditions like Clostridioides difficile infection. The nurse should assess for severe signs such as dehydration, fever, or blood in stool before escalating care.