護理師為高齡病人進行用藥核對（Medication Reconciliation），應執行哪些行動？（選所有適合的）
A nurse is conducting a medication reconciliation for an elderly client. Which actions should the nurse perform? (Select all that apply.)
- ACompare the current medication list with the admission orders✓ 正解將目前的用藥清單與入院醫囑進行比對
- BAsk the client to bring in all medication bottles from home✓ 正解請病人帶回家中的所有藥瓶
- CConsult with the pharmacist to identify potential interactions✓ 正解諮詢藥師以識別潛在的藥物交互作用
- DAssume that herbal supplements do not need to be documented假設草藥補充品不需要記錄
- EClarify discrepancies with the prescribing provider✓ 正解與開立處方的醫師釐清不一致之處
用藥核對（Medication Reconciliation）是病人入院、轉床或出院時的標準程序，旨在預防藥物錯誤與交互作用。護理師需比對病人的居家藥物清單與住院醫囑，並與醫師確認差異。這過程包含獲取正確藥物資訊、評估草藥補充劑及與專業人員合作。臨床上，高齡病人常有「多重用藥（Polypharmacy）」現象，故詳細核對尤為關鍵，以確保用藥安全。
Medication reconciliation is a standard process at admission, transfer, and discharge that aims to prevent medication errors and interactions. The nurse should compare the client's home medication list with admission orders and clarify any discrepancies with the prescribing provider. This involves obtaining accurate medication information, assessing herbal supplements, and collaborating with other professionals. Clinically, older clients often have polypharmacy, making thorough reconciliation especially important for medication safety.
美國醫院非常強調 Medication Reconciliation 流程，通常由護理師負責比對並由 pharmacist 審核。台灣臨床護理師亦執行類似作業，但美國法律責任更明確，若未落實可能導致嚴重的醫療過失訴訟。