— 安全與感染控制 · EASY · MCQ —
護理師準備為成人病人進行肌肉注射，哪項措施能確保注射安全？
A nurse is preparing to administer an intramuscular injection to an adult client. Which action ensures safety during the injection?
- AUse the Z-track technique to prevent medication leakage✓ 正解使用Z字軌跡技術以防止藥物滲漏
- BMassage the site vigorously after injection注射後用力按摩注射部位
- CInject at a 45-degree angle以45度角進行注射
- DAspirate before injecting to ensure needle placement注射前進行抽吸以確保針頭位置正確
— Explanation · 中文詳解 —
Z-track 技巧用於肌肉注射（特別是具刺激性藥物），可防止藥物回流至皮下組織，減少局部刺激與組織損傷。抽吸（aspiration）在大多數肌肉注射（除特定疫苗外）已不再是常規建議。按摩可能導致組織發炎。
The Z-track technique is used for intramuscular injection (especially for irritating medications); it prevents the drug from leaking back into the subcutaneous tissue, reducing local irritation and tissue injury. Aspiration is no longer routinely recommended for most intramuscular injections (with the exception of specific vaccines). Massage may lead to tissue inflammation.
✦ 台美臨床差異
台灣傳統教學常教導抽吸，近年已隨實證護理趨勢更新，但部分資深人員仍有舊習慣。