— 照護管理 · EASY · MCQ —
準備給藥時，病人說：「我從沒吃過這顆藥，它看起來不一樣。」護理師優先動作為何？
A nurse is preparing to administer a medication. The client states, "I have never taken this pill before; it looks different." What is the nurse's priority action?
- AAdminister the drug and inform the pharmacy later給藥並稍後通知藥局
- BAsk another nurse if they have seen the pill before詢問其他護理師是否看過該藥丸
- CWithhold the medication and re-verify the order and the drug✓ 正解暫停給藥並重新核對醫囑與藥物
- DTell the client the physician ordered it告知病人醫師已開立此醫囑
— Explanation · 中文詳解 —
護理安全的核心在於「給藥五對」（Right Patient, Drug, Dose, Route, Time）。當病人對藥物外觀提出質疑時，這通常是發現給藥錯誤的關鍵訊號。護理師必須立刻暫停給藥，並重新核對醫囑（MAR）與藥物包裝。病人對自身用藥最為熟悉，他們的懷疑必須獲得專業的重新驗證，絕不可輕忽。
When a client questions a medication's appearance, the nurse must prioritize safety by withholding the dose and re-verifying the order against the medication administration record. This ensures the correct drug is administered, as client concerns often signal potential medication errors that must be resolved before proceeding.