護理師發現藥物給予記錄有誤，第一優先順序為何？

發現給藥錯誤的第一優先是「評估病人現況」（C）。藥物錯誤可能已造成生理影響，必須立刻評估生命徵象、神經狀態、有無不良反應，這是直接影響病人安全的步驟。 評估完成後再依序：通知醫師、通知主管（D）、聯絡藥房（B），最後完成事件報告（A）以利系統檢討。但事件報告與藥房通報都不是第一步。 NCLEX 優先順序原則：當錯誤已發生，「立刻評估與保護病人」永遠優先於行政流程。

The first priority after identifying a medication error is to assess the client's current status (C). The medication may already have caused physiological effects; immediate assessment of vital signs, neurological status, and adverse reactions is essential for client safety. After assessment, the nurse notifies the physician, the supervisor (D), and pharmacy (B), and completes an incident report (A) for system review. None of these come before patient assessment. NCLEX priority principle: when an error has occurred, immediate patient assessment and protection always come before administrative actions.