護理師督導新進護理師給予 IVPB（靜脈滴注）藥物，哪項行為需要督導介入？
A nurse is supervising a newly licensed nurse who is preparing to administer IV piggyback medication. Which action requires the supervisor to intervene?
- AChecking the client's identification using two identifiers使用兩項識別資訊核对病人身份
- BConnecting the piggyback to the primary line before verifying the infusion rate✓ 正解在確認輸注速率前將輔助輸液連接至主線路
- CLabeling the new IV tubing with the date and time of initiation在新輸液管路上標註開始使用的日期和時間
- DConfirming the compatibility of the piggyback with the primary IV fluid確認輔助輸液與主要靜脈輸液的相容性
靜脈輸液（IV）給藥安全是 NCLEX 的核心考點。在執行靜脈滴注（IVPB）時，護理師必須嚴格遵守給藥程序。正確做法應為：先核對藥物、病人及流速，確認無誤後再將 Secondary tubing 連接至 Primary line，並在連接前設定好輸液幫浦（Infusion pump）的流速。選項 B 的錯誤在於「先連接後核對流速」，這會導致藥物在未設定流速的情況下，因重力作用直接快速流入體內，造成嚴重藥物過量或心血管負荷過重，違反了給藥安全原則。
Intravenous (IV) medication safety is a core NCLEX focus. When performing an IV piggyback (IVPB) infusion, the nurse must strictly follow medication administration procedures. The correct sequence is to first verify the medication, patient, and rate; after confirming accuracy, connect the secondary tubing to the primary line; and set the infusion pump rate before initiating the infusion. The error in Option B is connecting first and then verifying the rate, which would allow the medication to flow rapidly into the patient by gravity without a set rate, causing serious overdose or cardiovascular overload, in violation of medication safety principles.
美國臨床極度強調輸液幫浦（Smart pump）的使用與 Double-check 機制。對於高警訊藥物（High-alert medications），美國護理師執行前通常強制要求兩名護理師共同核對，此點在 NCLEX 考題中亦常出現。