— 生理適應 · MEDIUM · MCQ —
病人安排了一項需要顯影劑的診斷性檢查。優先的護理措施為何？
A client is scheduled for a diagnostic test requiring contrast dye. What is the priority nursing action?
- AAssess for allergies to iodine or shellfish✓ 正解評估是否對碘或貝殼類食物過敏
- BCheck renal function (creatinine level)檢查腎功能（肌酸酐濃度）
- CObtain informed consent取得知情同意書
- DEnsure the client is NPO確保病人禁食（NPO）
— Explanation · 中文詳解 —
顯影劑（Contrast dye）通常含有碘（Iodine），對於過敏體質的病人可能引發嚴重過敏反應甚至過敏性休克。因此，在任何需要使用顯影劑的檢查前，護理師的首要任務是評估病人的過敏史（特別是碘過敏或海鮮過敏）。雖然腎功能（肌酸酐 Cre）也非常重要，因為顯影劑具腎毒性，但在進行檢查的程序優先順序上，排除立即致命的過敏反應是第一要務。
The priority nursing action is to assess for allergies to iodine or shellfish, as contrast dye often contains iodine which can trigger severe anaphylactic reactions. While checking renal function is important to prevent contrast-induced nephropathy, preventing immediate life-threatening allergic responses takes precedence. Informed consent is generally the responsibility of the provider performing the procedure.