— 照護管理 · MEDIUM · SATA —
護理師準備協助病人出院，下列哪些護理措施是適當的？（選所有適合的）
A nurse is preparing to discharge a client. Which actions are appropriate for the nurse to perform? (Select all that apply.)
- AVerify that all medications are reconciled with the discharge order✓ 正解確認所有藥物已與出院處方調適一致
- BEnsure the client has a follow-up appointment with the provider✓ 正解確保病患已預約醫師的回診
- CDiscuss dietary changes with the client and family✓ 正解與病患及家屬討論飲食改變
- DDelegate the removal of the peripheral IV to a medical student指派醫學生拔除周邊靜脈導管
- EDocument the client's condition and means of transportation✓ 正解記錄病患的狀況與交通方式
— Explanation · 中文詳解 —
出院準備服務包含藥物調節（Medication Reconciliation）、預約後續門診、衛教飲食與生活習慣、以及確認出院當下的生命徵象與交通方式，並詳細紀錄於病歷。D 選項錯誤，移除周邊靜脈導管屬於護理執行範疇，醫學生應在教學監督下進行，不應是護理師委派的常規項目。
Appropriate discharge actions include verifying medication reconciliation, scheduling follow-up appointments, discussing dietary changes, and documenting the client's condition and transportation method. Removing a peripheral IV is a nursing skill that should not be delegated to a medical student without direct supervision, making option D incorrect.
✦ 台美臨床差異
美國出院規劃（Discharge Planning）通常由個案管理師共同協調，台灣則多由病房護理師全權負責。