# 比較過敏紀錄與有效用藥醫囑。請點選給藥前需釐清的醫囑。 > source: MyMerci (mymerci.kr) > url: https://mymerci.kr/pages/nclex_q.php?qn_id=499742&lang=zh-tw > language: zh-TW > subject: Adverse Effects/Contraindications/Interactions > category: PPT ## 題目 比較過敏紀錄與有效用藥醫囑。請點選給藥前需釐清的醫囑。 ![](https://mymerci.kr/data/nclex/hotspot/v4/v4_ehr_allergy.svg) 🎨Nano Banana 프롬프트 (이미지 로드 실패 — 자산 미업로드) 복사 Original NCLEX Hotspot clinical education asset. Keep all options equally prominent; never add an answer marker, circle, arrow, highlight, title, or watermark. 위 프롬프트로 이미지 생성 후 payload.hotspot.image 경로(/data/nclex/hotspot/v4/v4_ehr_allergy.svg)에 업로드하세요. ## 解析 阿莫西林屬於青黴素類抗生素，與青黴素過敏性休克紀錄衝突，給藥前必須確認。 ## 深入解析 快速解答 Amoxicillin（安莫西林）是一種青黴素類抗生素。一筆有效的 amoxicillin 醫囑與病歷記載的青黴素過敏性休克（penicillin anaphylaxis）互相衝突，必須在給藥前澄清。 為什麼這是正確的 Amoxicillin 屬於青黴素類藥物。一筆有效的醫囑與病歷記載的青黴素過敏性休克互相衝突，必須在給藥前澄清。 簡單的類比或心智圖像 使用兩欄式的安全檢查：將過敏史放在一側，有效醫囑放在另一側，然後將每種藥物與其所屬的藥物類別連結起來。 記憶掛鉤 Amoxicillin 與病歷記載的青黴素過敏性休克互相衝突。 NCLEX 決策規則 給藥前，比對過敏史、反應嚴重度、藥物類別及現行醫囑；發現衝突時應暫停並進行澄清。 為什麼其他選項是錯的 在此顯示畫面中，其他有效醫囑與病歷記載的青黴素過敏史並不相符；amoxicillin 那一列造成了直接的藥物類別衝突。參考資料 - [1]MedlinePlus：Amoxicillin ## 臨床情境 臨床情境 護理師比對過敏紀錄與有效的藥物醫囑。 護理師應注意的事項 Amoxicillin（安莫西林）是一種青黴素類抗生素。一筆有效的 amoxicillin 醫囑與病歷記載的青黴素過敏性休克（penicillin anaphylaxis）互相衝突，必須在給藥前澄清。 轉化到實務 給藥前，比對過敏史、反應嚴重度、藥物類別及現行醫囑；發現衝突時應暫停並進行澄清。 ## 重要概念 - **Medication reconciliation** — 將現行醫囑與個案的用藥及過敏紀錄進行比對。 - **Anaphylaxis** — 一種嚴重、可能危及生命的全身性過敏反應。 ## 相同主題題目 - [A client is admitted to the emergency department after ingesting an unknown amount of acet…](https://mymerci.kr/pages/nclex_q.php?qn_id=362720&lang=zh-tw) - [A client with chronic heart failure is prescribed metoprolol 25 mg orally twice daily. Bef…](https://mymerci.kr/pages/nclex_q.php?qn_id=362756&lang=zh-tw) - [A 28-year-old client with type 1 diabetes receives regular insulin 6 units and NPH insulin…](https://mymerci.kr/pages/nclex_q.php?qn_id=362792&lang=zh-tw) - [A client receives IV vancomycin 1 g every 12 hours for MRSA bacteremia. Before the next do…](https://mymerci.kr/pages/nclex_q.php?qn_id=362833&lang=zh-tw) - [A client with bipolar disorder has been taking lithium carbonate 600 mg orally three times…](https://mymerci.kr/pages/nclex_q.php?qn_id=362894&lang=zh-tw) - [A nurse is monitoring a client receiving a continuous IV heparin infusion for pulmonary em…](https://mymerci.kr/pages/nclex_q.php?qn_id=363988&lang=zh-tw) - [A nurse is preparing to initiate a weight-based continuous IV unfractionated heparin infus…](https://mymerci.kr/pages/nclex_q.php?qn_id=364107&lang=zh-tw) - [A nurse is providing discharge teaching to a 65-year-old client newly prescribed warfarin …](https://mymerci.kr/pages/nclex_q.php?qn_id=364872&lang=zh-tw) ## 以其他語言閱讀 - [en](https://mymerci.kr/pages/nclex_q.php?qn_id=499742&lang=en) - [ko](https://mymerci.kr/pages/nclex_q.php?qn_id=499742&lang=ko) - [ja](https://mymerci.kr/pages/nclex_q.php?qn_id=499742&lang=ja) - [zh-TW](https://mymerci.kr/pages/nclex_q.php?qn_id=499742&lang=zh-tw) - [vi](https://mymerci.kr/pages/nclex_q.php?qn_id=499742&lang=vi) --- More free questions: [NCLEX-RN 題庫](https://mymerci.kr/pages/nclex_bank.php?lang=zh-tw) _僅供學習參考。實際臨床請遵循最新指引與所屬機構規範。_