— 安全與感染控制 · EASY · MCQ —
如果發生針扎意外，護理師應採取的第一個行動為何？
Which action should the nurse take first if a needle-stick injury occurs?
- ATest the patient for HIV檢測病人是否感染 HIV
- BReport the injury to the manager將傷害事件通報主管
- CStart prophylactic medication開始預防性用藥
- DWash the site with soap and water✓ 正解以肥皂和水清洗傷口部位
— Explanation · 中文詳解 —
發生針扎意外（Needle-stick injury）時，首要目標是透過機械性移除來降低病原體（如 HIV、HBV、HCV）的接觸量。立即以肥皂與清水沖洗傷口是標準的急救步驟。隨後才進行後續的通報、評估與預防性給藥。在 NCLEX 的優先級考題中，物理性的處置（Physical action）通常優先於行政流程（Administrative process）。
The immediate priority after a needle-stick injury is to wash the affected area thoroughly with soap and water to mechanically reduce the pathogen load. Administrative tasks such as reporting the incident and initiating prophylactic medications or testing are important but follow initial wound cleansing.