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— 安全與感染控制 · MCQ —

若藥物標籤無法辨識,護理師應採取什麼行動?

Which action should the nurse take if a medication label is illegible?

  • AAsk another nurse to guess詢問其他護理師猜測
  • BDiscard the medication丟棄藥物
  • CReturn it to the pharmacy for relabeling退回藥局重新標籤正確答案
  • DGuess the medication name猜測藥物名稱
— Answer · 正確答案 —
  • C退回藥局重新標籤
— Why · 為什麼是這個答案 —

核心概念:藥物安全(Medication Safety)是護理的核心職責之一,確保給予病人的藥物是正確的,並且在正確的時間、以正確的途徑和劑量給予。藥物標籤(Label)是識別藥物的首要依據。 為何正確答案對:選項 C 指出「將藥物交回藥劑部重新標籤或更換」。這是處理藥物標籤無法辨識時最安全、最正確的做法。藥物標籤包含關鍵資訊(藥名、濃度、有效期限、批號等),若無法辨識,則無法確認藥物的正確性,繼續使用可能導致嚴重的給藥錯誤。 為何其他選項錯: D. 「猜測藥物名稱」(Guess the medication name)是極度危險的行為。即使護理師有經驗,猜測也可能出錯,導致給予錯誤的藥物或劑量,後果不堪設想。 B. 「丟棄藥物」(Discard the medication)雖然能確保安全,但可能造成藥物浪費,且病人可能因此延誤治療。在可能的情況下,應先嘗試追溯與更正。 A. 「詢問另一位護理師猜測」(Ask another nurse to guess)與選項 D 同樣危險。即使是經驗豐富的護理師,在資訊不足的情況下猜測也是不安全的。應由藥劑部負責確認與重新標籤。 臨床推理(Safety / Medication Administration):藥物安全強調「絕不猜測」。任何對藥物識別的疑慮,都應停止操作,並尋求正確的資訊來源。將無法辨識標籤的藥物交由專業藥劑部門處理,是確保病人用藥安全的標準流程。

— Options · 其他選項為什麼不對 —
  • A詢問其他護理師猜測

    請其他護理師猜測與自行猜測同樣危險,無法保證藥物正確性,應交由專業部門處理。

  • B丟棄藥物

    直接丟棄藥物可能造成浪費,且病人可能延誤治療。在安全的前提下,應先尋求正確的處理方式。

  • C · 正確答案退回藥局重新標籤

    將標籤不清的藥物交由藥劑部重新標籤或更換,是確保藥物識別準確、保障病人安全的最正確做法。

  • D猜測藥物名稱

    猜測藥物名稱極度危險,可能導致給予錯誤藥物或劑量,對病人造成嚴重傷害,是絕對禁止的。

✦ 台美臨床差異

藥物識別安全原則在美國和台灣是一致的,兩地都強調「Never Guess」(絕不猜測):台灣給藥同樣必須依「三讀五對」的標準程序核對,藥品最小包裝也須標示藥名與含量;標籤無法辨識時,NCLEX 的標準做法是不給藥、把藥品退回藥劑部。 台灣出處:臺南市政府衛生局〈診所藥局安全調劑給藥標準作業流程(參考範例)〉(未標示);亞洲大學附屬醫院〈病人安全 一般用藥安全須知〉(未標示)

English explanation

Core concept: Medication safety is one of the nurse's central responsibilities, ensuring that the medication given to the patient is correct and is administered at the right time, by the right route, and at the right dose. The medication label is the primary basis for identifying a drug. Why the correct answer is correct: Option C states, "Return the medication to the pharmacy for relabeling or replacement." This is the safest and most correct course of action when a medication label is illegible. The label contains critical information (drug name, concentration, expiration date, lot number, etc.); if it cannot be read, the medication cannot be verified, and continued use may result in a serious medication error. Why the other options are incorrect: D. "Guess the medication name" is extremely dangerous. Even an experienced nurse may guess incorrectly, leading to administration of the wrong drug or dose, with disastrous consequences. B. "Discard the medication" may ensure safety, but it can waste the drug and delay the patient's treatment. Whenever possible, an attempt should first be made to trace and correct the issue. A. "Ask another nurse to guess" is equally dangerous as option D. Even an experienced nurse cannot safely guess in the absence of sufficient information. Verification and relabeling should be performed by the pharmacy. Clinical reasoning (Safety / Medication Administration): Medication safety emphasizes "never guess." Any doubt about drug identification should halt the procedure, and a reliable source of information should be sought. Returning a medication with an illegible label to the professional pharmacy for handling is the standard procedure for ensuring patient medication safety.

最近修訂:2026-10-05

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