— 照護管理 · MEDIUM · MCQ —
護理師督導新進護理師執行靜脈推注（IV Push）給藥，哪項行為需要介入？
A nurse is supervising a newly licensed nurse who is preparing to administer IV push medication. Which action by the new nurse requires intervention?
- AFlushing the IV line with normal saline before and after the medication在給藥前後以生理食鹽水沖洗靜脈管路
- BPushing the medication rapidly over 10 seconds✓ 正解在 10 秒內快速推注藥物
- CVerifying the client's identity using two identifiers使用兩種識別方式確認病人身分
- DChecking the medication label against the MAR將藥物標籤與給藥紀錄（MAR）核對
— Explanation · 中文詳解 —
IV Push 藥物推注速度有嚴格規定，過快推注可能導致嚴重的全身性副作用或藥物過量反應。新進護理師若僅用 10 秒推注，違反給藥安全原則。其餘選項如核對 MAR、沖管與雙重核對病人身分，均為正確的給藥步驟。
IV push medication administration has strict rate requirements; pushing too quickly can result in serious systemic adverse effects or drug-overdose reactions. If the new nurse pushes the medication over only 10 seconds, this violates safe administration principles. The other options—verifying the medication against the MAR, flushing the line, and using two identifiers to verify the client—are all correct administration steps.
✦ 台美臨床差異
美國醫護對於給藥速度非常嚴謹，台灣對於 IV Push 速度亦有臨床規範，但各院區 protocol 可能因藥物種類細節有差異。