護理師評估病人時,發現醫囑中有潛在的給藥錯誤。最妥當的行動為何?
A nurse is assessing a client and notices a potential medication error in the physician's order. What is the best action?
- AIgnore the order and skip the dose忽略該醫囑並跳過劑量
- BAdminister the medication and write a note about the concern給藥並在備註中記錄疑慮
- CAsk a peer to administer the drug instead請同事代為給藥
- DQuestion the order by calling the physician directly✓ 正解直接致電醫師質疑該醫囑
醫護溝通與病人安全是 NCLEX 的核心。若護理師發現醫囑有潛在錯誤,絕對不能盲從執行,因為護理師對給藥安全負有最終責任。直接打電話向醫師確認醫囑(Clarification)是專業護理師的標準做法,這能消除疑慮並防止給藥錯誤發生。若僅是單方面跳過醫囑或轉手他人,無法根本解決錯誤風險,亦違反專業職責。
Provider-nurse communication and patient safety are central NCLEX themes. If the nurse identifies a potential error in a physician's order, the order must never be followed blindly, because the nurse bears ultimate responsibility for medication safety. Directly calling the provider to clarify the order is the professional nurse's standard practice; this resolves the concern and prevents a medication error. Simply skipping the order or handing it off to another nurse does not address the underlying risk and violates professional responsibility.