護理師正在照顧一位剛開立鴉片類止痛藥的病人。護理師需執行哪些行動？（選所有適合的）
A nurse is caring for a client with a new prescription for an opioid analgesic. Which actions are required by the nurse? (Select all that apply.)
- AAssess pain level using a standardized scale✓ 正解使用標準化量表評估疼痛程度
- BVerify the prescription with the pharmacist與藥師確認醫囑
- CMonitor the client for respiratory depression✓ 正解監測個案是否有呼吸抑制現象
- DDocument the medication administration in the MAR✓ 正解在藥物給藥紀錄單（MAR）上記錄給藥情形
- EEnsure the client has access to a call light✓ 正解確保個案可取得呼叫鈴
給予管制藥物需嚴格執行：術前評估疼痛指數以作為後續成效基準，給藥後需監測呼吸抑制風險（鴉片類核心副作用），並確實完成給藥記錄（MAR）與確保病人安全環境（呼叫鈴）。B選項不需由護理師執行，核對藥單是藥師與醫師的程序。
Administering controlled substances requires strict adherence: pain must be assessed before administration to establish a baseline for evaluating efficacy, the client must be monitored for respiratory depression after administration (a core side effect of opioids), the medication must be accurately documented in the MAR, and a safe environment must be ensured (e.g., access to a call light). Option B is not required of the nurse; verification of the prescription is a procedure performed by the pharmacist and the prescribing provider.
美國對管制藥物使用有嚴格的電腦稽核系統（如 Pyxis），台灣亦有嚴格管制，兩者皆需執行護理給藥規範。