— 降低風險 · EASY · MCQ —
一位接受輸血的病人出現下列哪種臨床徵象時，護理師應立即停止輸血？
Which assessment finding in a client receiving a blood transfusion requires the nurse to immediately stop the infusion?
- ATemperature elevation of 0.5 degrees體溫上升 0.5 度
- BBack pain and flank pain✓ 正解背痛及腰側痛
- CMild flushing of the skin皮膚輕微潮紅
- DIncreased anxiety during the procedure過程中焦慮增加
— Explanation · 中文詳解 —
背部或腰側疼痛是急性溶血性輸血反應（Acute Hemolytic Reaction）的特徵性症狀，這是因 ABO 血型不合導致紅血球遭到破壞，可能導致休克及急性腎衰竭，必須立即停止輸血並保持靜脈管路通暢，更換點滴管路並以生理食鹽水維持管路。
Back or flank pain is a hallmark sign of an acute hemolytic transfusion reaction caused by ABO incompatibility, which can lead to shock and renal failure. The nurse must immediately stop the transfusion to prevent further harm while maintaining IV access with normal saline.
✦ 台美臨床差異
美國輸血護理標準化嚴格，台灣輸血前核對流程在電子化系統輔助下已大幅降低人為錯誤風險。