— 照護管理 · MEDIUM · MCQ —
護理師在督導新進人員進行靜脈注射（IV push），若新進人員做什麼動作，護理師應介入？
A nurse is supervising a newly licensed nurse who is preparing to administer IV push medication. The nurse should intervene if the new nurse does which of the following?
- AVerifies the medication via two patient identifiers透過兩項病人識別資訊確認藥物
- BFlushes the line with saline before and after the medication在給藥前後以生理食鹽水沖洗管路
- CInjects the medication directly into an existing maintenance IV bag line✓ 正解將藥物直接注入現有的維持性靜脈輸液管路
- DChecks the infusion rate for the specific medication檢查該特定藥物的輸注速率
— Explanation · 中文詳解 —
靜脈推注（IV push）給藥時，若直接注入正在輸注維持液的管路中，可能導致藥物濃度過高，或因藥物與輸液產生配伍禁忌（Incompatibility），導致沉澱或藥效降低。護理師應在最靠近病人的注射口（Y-site 或注射塞）給藥，並在給藥前後確實沖洗管路（Flush）。其他選項如確認身分與核對速率皆為安全給藥的標準流程。
The nurse should intervene if the new nurse injects medication directly into the tubing of an existing maintenance IV bag, as this can cause drug incompatibility or rapid bolus overload. Safe practice requires administering IV push medications at the Y-site or injection port near the patient, with flushing before and after administration.