— 藥理與非經腸給藥 · MEDIUM · MCQ —
病人獲處方抗生素，給予第一劑前最重要應核對哪項檢驗結果？
A client is prescribed an antibiotic. Which lab result is most important to check prior to the first dose?
- ABlood glucose血糖
- BSerum sodium血清鈉
- CAllergy history✓ 正解過敏史
- DLiver function tests肝功能檢測
— Explanation · 中文詳解 —
在給予任何藥物前，護理師必須執行「五/六項給藥原則」（Rights of Medication Administration）。其中，抗生素類藥物（尤其是盤尼西林類）最常見引發過敏反應，嚴重者可導致過敏性休克（Anaphylactic Shock）。因此，核對病人的藥物過敏史是給藥前最優先、最關鍵的安全檢查，若未確認過敏史就給藥，將對病人生命安全造成極大威脅。
Checking for allergy history is the highest priority before administering antibiotics, particularly penicillins, to prevent life-threatening anaphylaxis. While liver function may be relevant for certain medications, it does not take precedence over immediate allergic reaction risks. Verifying allergies aligns with the fundamental safety principles of medication administration.