— 照護管理 · MEDIUM · MCQ —
護理師正在指導一位新進護理師準備靜脈給藥，哪一個行為需要立刻介入？
A nurse is supervising a newly licensed nurse who is preparing to administer an IV medication. Which action by the new nurse requires intervention?
- AChecking the client's identification band檢查病人的識別手環
- BHanging the IV piggyback without checking for medication compatibility✓ 正解在未檢查藥物相容性的情況下懸掛靜脈輸液
- CCleansing the IV port with an alcohol pad for 15 seconds以酒精棉片清潔靜脈注射端口 15 秒
- DVerifying the medication order in the electronic system在電子系統中核對藥物醫囑
— Explanation · 中文詳解 —
藥物配伍禁忌（Compatibility）是靜脈給藥的安全核心。若未確認兩者是否可混用即滴注，極可能造成藥物沉澱或失去藥效。A、D、C 分別代表病人確認、醫囑核對與感染控制之正確步驟，皆符合給藥安全原則。
Medication compatibility is essential when administering IV piggybacks. Hanging two incompatible medications can cause precipitation, drug inactivation, or phlebitis. The other actions—checking the ID band, verifying the order, and cleaning the port—follow standard safe-medication-administration practice.
✦ 台美臨床差異
美國臨床護理師常使用智慧系統自動核對兼容性；台灣目前多依賴護理師專業知識及藥師建議，系統整合正逐步提升。