— 照護管理 · MEDIUM · MCQ —
護理師交班時，哪位病人的情況需要立即跟進？
A nurse is receiving a change-of-shift report. Which client situation requires immediate follow-up?
- AA client who received an incorrect medication dose 2 hours ago✓ 正解兩小時前接受錯誤藥物劑量的病人
- BA client who is post-op day 2 and has not had a bowel movement術後第二天尚未排便的病人
- CA client with a potassium level of 3.2 mEq/L who is asymptomatic鉀離子濃度為 3.2 mEq/L 且無症狀的病人
- DA client with an elevated white blood cell count of 12,000/mm³白血球計數升高至 12,000/mm³ 的病人
— Explanation · 中文詳解 —
在交班報告中，護理師需運用「優先級排序」（Prioritization）。給藥錯誤（Medication error）屬於安全事件，即便已發生兩小時，護理師仍需立即評估病人是否有過敏、中毒或藥效過強的反應，並根據醫院規範進行補救處置與通報。此項威脅病人生命安全，優先級高於常規的生理數據異常或排便問題。
During handoff report, the nurse must apply prioritization. A medication error is a safety event; even though it occurred two hours ago, the nurse must immediately assess the client for allergic, toxic, or exaggerated drug effects and carry out remedial action and reporting according to facility policy. This event threatens client safety and takes precedence over routine physiological abnormalities or constipation.