— 照護管理 · MEDIUM · MCQ —
護理師督導新進人員執行照護，哪項動作需要立即介入？
A nurse is supervising a newly licensed nurse performing client care. Which action by the new nurse requires immediate intervention?
- ADocumenting a client's fall in the medical record在病歷中記錄病人跌倒
- BChecking the client's wristband before administering oral medication給予口服藥物前檢查病人腕帶
- CPlacing a potassium chloride IV piggyback in an infusion pump✓ 正解將氯化鉀靜脈滴注連接至輸注幫浦
- DReporting a medication error to the charge nurse向護理長回報用藥錯誤
— Explanation · 中文詳解 —
氯化鉀（Potassium Chloride, KCl）是高警訊藥物（High-alert medication）。絕對禁止靜脈推注（IV push），因為這會導致血鉀瞬間升高，引發致命性心律不整。若需靜脈輸注，必須經過適當稀釋並使用輸液幫浦（Infusion pump）嚴格控制輸注速度。新進護理師若未經適當設置便操作，具極高病安風險，必須立即介入。
Potassium chloride is a high-alert medication that can cause fatal arrhythmias if administered too rapidly or via IV push. Immediate intervention is required if a new nurse fails to properly dilute the medication or use an infusion pump to strictly control the rate, ensuring patient safety against cardiac arrest.