— 降低風險 · HARD · MCQ —
護理師照護一位接受持續舌下給藥的病人，為預防給藥錯誤，哪項評估是優先重點？
A nurse is caring for a client with a continuous sublingual infusion. What is the priority assessment to prevent medication error?
- AMonitor for systemic side effects監測全身性副作用
- BCheck the sublingual mucosal integrity檢查舌下黏膜完整性
- CVerify the patient's identity using two identifiers✓ 正解使用兩種識別方式驗證病人身份
- DEnsure the dosage is adjusted for renal impairment確保劑量已根據腎功能障礙進行調整
— Explanation · 中文詳解 —
無論給藥途徑為何，預防給藥錯誤的第一黃金法則永遠是確認病人身份（Two patient identifiers）。這是 NCLEX 極度重視的安全規範，確認「正確的病人」是所有給藥安全環節中最基礎且不可逾越的步驟。
Regardless of the route of administration, the first golden rule for preventing medication errors is always to verify the patient's identity using two identifiers. This is a safety standard heavily emphasized in the NCLEX; confirming the right patient is the most basic and non-negotiable step in safe medication administration.
✦ 台美臨床差異
美國醫策會強調 Two identifiers（姓名+生日/病歷號），台灣同樣推廣，但臨床護理師有時較依賴病床卡，教育上皆強調核對手圈的重要性。