— 降低風險 · EASY · MCQ —
護理師準備為病人進行肌肉注射。下列哪項是確保安全的適當措施？
A nurse is preparing to administer an intramuscular injection to a client. Which of the following is an appropriate action to ensure safety?
- AUse the dorsogluteal site to ensure deep tissue penetration使用背臀部部位以確保深入組織
- BVerify the client's identity using two identifiers✓ 正解使用兩項識別碼驗證客戶身分
- CMassage the site vigorously after injection注射後用力按摩注射部位
- DAspirate for blood prior to injecting all medications在所有藥物注射前進行回抽
— Explanation · 中文詳解 —
給藥安全之首要準則為正確辨識病人。使用兩項臨床識別碼（如姓名、出生年月日）可有效避免用藥錯誤。現代護理實務顯示，絕大多數疫苗與藥物注射無需反抽（Aspiration），且背臀部因鄰近坐骨神經，已不再作為常規首選注射部位。
The foremost principle of medication safety is correct patient identification. Using two clinical identifiers (such as name and date of birth) effectively prevents medication errors. Contemporary nursing practice indicates that aspiration is no longer required for the vast majority of vaccines and medication injections, and the dorsogluteal site, owing to its proximity to the sciatic nerve, is no longer recommended as a routine first-choice injection site.
✦ 台美臨床差異
台灣部分資深護理人員習慣反抽，但目前護理教育已更新為無需常規反抽，接軌國際。