— 照護管理 · EASY · MCQ —
護理師準備輸注濃縮紅血球（PRBCs）給病人，輸注開始前應採取下列何項措施？
A nurse is preparing to administer packed red blood cells (PRBCs) to a client. Which action should the nurse take before starting the transfusion?
- APrime the blood tubing with 0.9% normal saline以 0.9% 生理食鹽水沖洗輸血管路
- BVerify the client's identity and blood product information with another nurse✓ 正解與另一位護理師共同核對病人身份與血液產品資訊
- CEnsure informed consent has been obtained確保已取得知情同意
- DObtain a baseline temperature, pulse, respiration, and blood pressure取得基礎體溫、脈搏、呼吸與血壓數據
— Explanation · 中文詳解 —
輸血安全最關鍵的步驟是核對病人與血品資訊，預防嚴重的溶血反應（ABO 型不合）。在給予血液製品前，必須由兩名護理師在床邊共同核對病人的身分、病歷號碼、血袋標籤上的血型、血袋號碼與有效期。這是護理安全中的核心要求，任何疏忽都可能導致致命錯誤。其他步驟（如測量生命徵象、沖洗管路）雖重要，但身分與血品核對是輸血安全的前提。
Verifying the client's identity and blood product information with another nurse is the most critical safety step to prevent fatal ABO incompatibility reactions. While priming tubing and obtaining baseline vital signs are important, double-checking patient and product details at the bedside is the immediate priority to ensure transfusion safety.