護理師準備為病人輸血。為確保病人安全，護理師應優先執行哪項措施？
A nurse is preparing to administer a blood transfusion. Which action should the nurse take first to ensure client safety?
- AObtain informed consent from the client取得病人的知情同意
- BPrime the IV tubing with normal saline以生理食鹽水沖洗靜脈輸液管路
- CAssess the client's vital signs評估病人的生命徵象
- DVerify the client's identity using two identifiers✓ 正解使用兩種識別方式核對病人身分
輸血安全的首要步驟是確認病人身分，以防止輸錯血導致嚴重的溶血反應。雖然評估生命徵象、準備生理食鹽水和確認同意書也是必要程序，但根據安全管理原則，正確辨識病人是所有介入措施的最底層基礎，能預防最嚴重的醫療疏失。
The first step in transfusion safety is to confirm the client's identity in order to prevent a serious hemolytic reaction from transfusing the wrong blood. Although assessing vital signs, priming the tubing with normal saline, and confirming informed consent are also necessary procedures, according to safety management principles correctly identifying the client is the foundational layer beneath all interventions and is essential for preventing the most serious medical errors.
美國與台灣皆嚴格執行雙人核對，但美國多數醫囑系統已整合條碼掃描（Barcode）來自動化此流程，減少人為錯誤。