— 降低風險 · EASY · MCQ —
護理師準備靜脈輸注氯化鉀（KCl）。下列哪項安全防護措施是必要的？
A nurse is preparing to administer potassium chloride intravenously. Which safety precaution is essential?
- AEnsure the client has a high urine output before starting確保病人在開始給藥前有高尿量
- BAdminister the medication via IV push透過靜脈推注給藥
- CVerify the concentration and infusion rate✓ 正解確認藥物濃度和輸注速率
- DDilute the medication in at least 500 mL of fluid將藥物稀釋於至少 500 mL 液中
— Explanation · 中文詳解 —
KCl 是高警訊藥物（High-alert medication）。給藥前必須嚴格確認濃度與輸注速率（絕對不可靜脈推注），以防心律不整及組織壞死。確認尿量雖重要，但確認給藥安全性（速率）是直接風險管控的第一步。
KCl is a high-alert medication. Before administration, the nurse must strictly verify the concentration and infusion rate (it must never be given as an IV push) to prevent arrhythmias and tissue necrosis. Although checking urine output is important, confirming administration safety (the rate) is the first and most direct risk control step.
✦ 台美臨床差異
台美皆視 KCl 為高警訊藥物，皆需雙人核對（Double check）。