— 照護管理 · EASY · MCQ —
護理師發現病人的點滴輸注幫浦停止運作。第一行動為何？
A nurse discovers that a client's infusion pump has stopped. What is the first action to take?
- ANotify the physician通知醫師
- BReset the infusion pump immediately立即重設輸注幫浦
- CCheck the client's current IV site and infusion status✓ 正解檢查病人目前的靜脈留置針部位與輸注狀況
- DCall the biomedical engineering department呼叫生物醫學工程部門
— Explanation · 中文詳解 —
當監測儀器或輸注幫浦停止運作時，護理臨床評估的優先順序永遠是「病人先於儀器」。護理師應先檢查病人的靜脈注射部位是否有滲漏、紅腫或回血，確認病人的靜脈通道是否依然安全與通暢。在確認病人狀況無虞後，再進行儀器的故障排除或聯繫技術人員。這體現了 ABC（Airway, Breathing, Circulation）與病人安全的第一優先級。
When a monitoring device or infusion pump stops working, the clinical assessment priority is always 'client before device.' The nurse should first inspect the client's IV site for leakage, redness, or backflow to confirm that the IV access remains safe and patent. After ensuring that the client is stable, the nurse can then troubleshoot the device or contact technical support. This reflects the ABC (Airway, Breathing, Circulation) framework and the first priority of client safety.