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照護管理 · MEDIUM · MCQ

護理師準備協助病人出院,下列哪項行動應優先以確保病人安全?

The nurse is preparing to discharge a client. Which of the following actions should the nurse prioritize to ensure patient safety?

  • AProvide written instructions about dietary restrictions
    提供關於飲食限制的書面指示
  • BVerify that the client has a safe transportation method home
    確認病人有安全的返家交通工具
  • CEnsure the client understands the medication schedule and purpose✓ 正解
    確保病人了解用藥時程與目的
  • DConfirm that the client has a follow-up appointment scheduled
    確認病人已預約回診
Explanation · 中文詳解

出院準備(Discharge Planning)的核心目標是確保病人出院後能安全地延續照護。藥物管理(Medication Management)是預防再入院(Readmission)的首要因素。病人若不了解藥物的用途、劑量與副作用,極易發生服藥錯誤,造成生理失衡,這直接威脅病人的生命安全,故列為優先事項。

Ensuring the client understands the medication schedule and purpose is the priority discharge action because medication errors are a leading cause of hospital readmissions. While dietary instructions, transportation, and follow-up appointments are important components of discharge planning, immediate comprehension of medication management directly safeguards the client's physiological stability upon returning home.

✦ 台美臨床差異

美國醫療體系中,「藥物協調(Medication Reconciliation)」是 JCAHO 評鑑的重要指標,護理師需確保病人出院時的用藥清單與住院期間一致且清晰。

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