護理師收到一張劑量超出常規範圍的醫囑，優先行動為何？
A nurse receives an order for a medication that is outside the normal dosage range. What is the nurse's priority action?
- ACheck with a fellow nurse to see if the dose is standard詢問同事該劑量是否為標準劑量。
- BContact the prescribing physician to clarify the order✓ 正解聯絡開立醫囑之醫師以釐清醫囑內容。
- CDecrease the dosage to the standard range將劑量減少至標準範圍。
- DAdminister the dose as ordered because physicians are liable依醫囑給藥，因為醫師須負法律責任。
當醫囑劑量超出常規範圍時，護理師的首要義務是確認該醫囑的正確性。這體現了護理師作為病人安全防線的角色。直接詢問醫師可澄清是否為醫囑錯誤或醫師的特殊考量。絕對不可盲目執行（D），以免造成給藥誤差，也不可自行減量（C），因為這會干擾治療計畫。與同事討論（A）雖可作為參考，但不能替代與醫師確認的法律程序。
When an order is outside the normal dosage range, the nurse's first responsibility is to confirm the accuracy of the order. This reflects the nurse's role as a safety check for the patient. Contacting the physician directly clarifies whether the order is in error or reflects a specific clinical intent. Blindly administering it (D) must be avoided to prevent medication errors, and the nurse must not unilaterally reduce the dose (C), as this would interfere with the treatment plan. Discussing with a peer (A) may be helpful for reference but cannot substitute for the legal requirement of confirming with the prescribing physician.