— 降低風險 · MEDIUM · MCQ —
病人安排進行心導管檢查。下列哪項術前評估最重要？
A client is scheduled for a cardiac catheterization. Which of the following is the most important pre-procedure assessment?
- AAssessment of current pain level目前疼痛程度的評估
- BPrevious surgical history既往手術史
- CAbility to remain supine for 6 hours能夠仰臥維持 6 小時的能力
- DAllergy to iodine or shellfish✓ 正解對碘或貝類過敏
— Explanation · 中文詳解 —
心導管檢查（Cardiac Catheterization）涉及使用含碘對比劑（contrast media）。對比劑過敏可能引發嚴重的全身性過敏反應（anaphylaxis）。在執行涉及血管攝影的侵入性檢查前，護理師必須確認病人的過敏史，特別是針對碘或海鮮（因含碘）的過敏反應，這是確保醫療安全最關鍵的術前評估。
Cardiac catheterization involves the use of iodine-based contrast media, which poses a significant risk for severe anaphylactic reactions. Assessing for allergies to iodine or shellfish is the most critical pre-procedure step to ensure patient safety. Other assessments, such as pain levels or positioning ability, are less urgent regarding immediate life-threatening risks.