護理師收到醫師模糊的醫囑，下一步應採取的適當措施為何？
A nurse receives an unclear order from a physician. What is the appropriate next step?
- AGuess the intent based on clinical experience根據臨床經驗猜測意圖
- BClarify the order with the physician✓ 正解向醫師澄清醫囑
- CImplement the order as perceived按照所理解的方式執行醫囑
- DFollow the pharmacist's advice遵循藥師的建議
護理師在執行醫囑時，若遇到醫囑內容模糊、劑量不合理或有潛在風險時，必須遵循「安全第一」的原則。護理師有法律責任（Legal duty）去確保醫囑的正確性。直接猜測或執行模糊醫囑屬於疏忽（Negligence），若造成病人傷害，護理師需負擔醫療過失責任。正確的做法是透過正式溝通管道聯繫開立醫囑的醫師，要求澄清（Clarify），必要時應告知護理長（Charge Nurse）或依醫院政策處理。
When implementing a physician's order, if the nurse encounters an order that is unclear, has an unreasonable dose, or carries potential risk, the principle of 'safety first' must be followed. The nurse has a legal duty to ensure the accuracy of orders. Guessing the intent of, or directly carrying out, an ambiguous order constitutes negligence, and if the client is harmed, the nurse will bear liability for medical malpractice. The correct action is to contact the prescribing physician through formal communication channels to request clarification, and if necessary to inform the charge nurse and follow institutional policy.
在美國，護理師對醫囑有絕對的「停止與質疑（Stop and Question）」權利。若醫師拒絕澄清或態度惡劣，護理師應依循醫院的「向上報告鏈（Chain of Command）」，聯繫更資深的醫師或主管，以保護病人安全。