— 照護管理 · HARD · MCQ —
護理師發現疑似藥物錯誤，首要處理步驟為何？
A nurse is caring for a client with a suspected medication error. What is the nurse's priority action?
- ANotify the nurse manager通知護理長
- BComplete an incident report填寫不良事件報告
- CContact the pharmacy to report the error聯絡藥局回報錯誤
- DAssess the client for adverse reactions✓ 正解評估病人是否有不良反應
— Explanation · 中文詳解 —
發生用藥錯誤時，維護病人安全是護理師的第一優先任務（Priority action）。護理師必須立即評估病人的生命徵象與臨床狀況，觀察是否有藥物不良反應，並採取必要的急救措施。隨後才進行通報（Incident report）與通知主管。NCLEX 強調「病人優先於行政程序」，因此評估病人絕對是第一步。
When a medication error occurs, ensuring patient safety is the nurse's first priority action. The nurse must immediately assess the patient's vital signs and clinical status, monitor for adverse drug reactions, and take necessary emergency measures. Only afterward should the incident report be completed and the supervisor notified. NCLEX emphasizes 'patient before administrative process,' so assessing the patient is absolutely the first step.