— 照護管理 · HARD · MCQ —
護理師發現給錯了胰島素劑量，優先行動為何？
A nurse discovers a medication error where the wrong dose of insulin was given. What is the priority action?
- AAssess the client's current status and blood glucose level✓ 正解評估病人的目前狀況及血糖值
- BComplete an incident report填寫不良事件報告
- CCall the physician通知醫師
- DNotify the nurse manager通知護理長
— Explanation · 中文詳解 —
面對給藥錯誤，護理師的首要任務是病人安全（Patient Safety）。給錯胰島素劑量可能導致嚴重的低血糖，威脅生命，因此必須先評估病人的生理狀況與血糖數值，以判斷是否需要立即採取急救行動。NCLEX 考試中，遇到醫療錯誤時，評估（Assessment）永遠優於行政報告（Incident report）或通知醫師。
When a medication error occurs, the nurse's first priority is patient safety. Giving the wrong dose of insulin may cause severe, life-threatening hypoglycemia, so the nurse must first assess the client's physiologic status and blood glucose level to determine whether immediate emergency intervention is needed. On the NCLEX, when a medical error occurs, assessment always takes precedence over filing an incident report or notifying the provider.