— 安全與感染控制 · EASY · MCQ —
護理師準備對病人進行肌肉注射。下列哪項措施對於確保病人安全至關重要？
A nurse is preparing to administer an intramuscular injection to a client. Which action is essential to ensure client safety?
- ARecap the needle immediately after administration注射後立即重新套上針蓋
- BVerify the client's identity using two patient identifiers✓ 正解使用兩項病人識別資訊驗證病人身份
- CAspirate for blood prior to injecting all medications在所有藥物注射前進行抽吸確認回血
- DWear clean gloves during the injection preparation在準備注射期間配戴清潔手套
— Explanation · 中文詳解 —
病人安全的核心是給藥正確。根據病人安全目標，給藥前必須使用兩種識別方式（如姓名與出生日期）核對身分。B 非首要安全關鍵；C 違反針扎預防原則；D 最新實證指引顯示，除非特定藥物，否則 IM 注射不建議常規抽吸。
The core of client safety is correct medication administration. Per patient safety goals, two identifiers (e.g., name and date of birth) must be verified before administration. D is not the primary safety key; C violates needlestick prevention; D — current evidence indicates that aspiration is no longer routinely recommended for most IM injections.
✦ 台美臨床差異
美台醫院皆實施兩段式身分核對；台灣常見使用手圈掃描確認，美國亦普及電子條碼核對。