— 照護管理 · HARD · MCQ —
一位護理師正在指導一位新進的畢業護理師。新進護理師的哪句話表示需要進一步指導？
A nurse is mentoring a new graduate nurse. Which statement by the new graduate indicates a need for further teaching?
- A"I need to notify the physician immediately if a client experiences a change in mental status."如果病人出現精神狀態改變，我需要立即通知醫師
- B"I can administer pain medication PRN without assessing the client's pain level first."✓ 正解我可以在未先評估病人疼痛程度的情況下，給予按需（PRN）止痛藥
- C"I will delegate the task of taking vital signs to the UAP."我會將測量生命徵象的工作委派給未註冊人員（UAP）
- D"I will check the client's allergies before administering any new medication."在給予任何新藥物之前，我會確認病人的過敏史
— Explanation · 中文詳解 —
護理師指導新手時，應糾正臨床錯誤行為。D「未評估病人就給 PRN 止痛藥」是不正確做法——PRN 給藥前必須先評估病人狀況（疼痛強度、生命徵象、近期用藥時間、有無禁忌），確認用藥安全與必要性。其他選項皆為正確護理動作：A 給藥前確認過敏史是 Five Rights 之一；B 將生命徵象測量委派給 UAP 為合理委派；C 病人出現過敏反應立即通報醫師為標準應變。
Administering PRN pain medication without first assessing the client's pain level is incorrect practice, as assessment is required to determine the necessity and safety of the dose. Valid nursing actions include notifying the provider of mental status changes, delegating vital signs to unlicensed assistive personnel, and checking for allergies before administration.