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藥理與非經腸給藥 · MEDIUM · MCQ

病人正在使用鴉片類鎮痛藥,哪項護理行為是安全關鍵?

A client is receiving an opioid analgesic. Which nursing action is key for safety?

  • ADo not document pain scores
    不記錄疼痛評分
  • BAlways provide the full dose
    總是給予全劑量
  • CEncourage rapid mobilization
    鼓勵快速活動
  • DAssess sedation level before administration✓ 正解
    給藥前評估鎮靜程度
Explanation · 中文詳解

鴉片類藥物(opioid analgesics)最嚴重的副作用是呼吸抑制(respiratory depression)。為了確保給藥安全,護理師在給藥前必須評估病人的鎮靜等級(sedation level)。若病人已經出現嗜睡或難以喚醒的徵兆,給予額外的鴉片類藥物將導致呼吸中樞抑制,危及生命。這是臨床護理中 ABC(Airway, Breathing, Circulation)原則的具體體現,安全給藥必須優先於疼痛緩解。

The most serious adverse effect of opioid analgesics is respiratory depression. To ensure safe administration, the nurse must assess the client's sedation level before giving the medication. If the client already shows signs of drowsiness or difficulty being aroused, giving additional opioid medication will further suppress the respiratory center and endanger the client's life. This is a concrete application of the ABC (Airway, Breathing, Circulation) principle in clinical nursing; safe administration must take priority over pain relief.

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