— 安全與感染控制 · MEDIUM · SATA —
護理師準備給藥，哪些行為符合用藥安全原則？（選所有適合的）
A nurse is preparing to administer medications. Which actions represent safe medication administration? (Select all that apply.)
- AVerify the client's identity using two patient identifiers✓ 正解使用兩種病人識別方式確認病人身分
- BCheck the medication label against the MAR three times✓ 正解三次查對藥物標籤與醫囑記錄表(MAR)
- CAdminister medication prepared by another nurse給予其他護理師準備之藥物
- DClarify unclear orders with the prescribing physician✓ 正解就含糊不清之醫囑與開立醫師澄清
- EDocument the medication administration immediately after giving it✓ 正解給藥後立即紀錄藥物給藥情形
— Explanation · 中文詳解 —
用藥安全是 NCLEX 重點考題，核心在於落實給藥安全程序（Rights of Medication Administration）。給藥前必須確實核對病人身分，並執行三讀五對。任何不清晰的醫囑必須在給藥前釐清，且給藥後應立即紀錄，以防重複給藥或遺漏。護理師絕對不可代他人給藥，因為無法確保配藥過程的安全性。
Safe medication administration involves verifying patient identity with two identifiers, checking the label against the MAR three times, clarifying unclear orders, and documenting immediately after administration. Nurses must never administer medications prepared by others to ensure accountability and safety throughout the preparation process.
✦ 台美臨床差異
美國醫院廣泛使用條碼給藥系統（BCMA），護理師在給藥時必須掃描病人的識別腕帶與藥物條碼，這已成為標準流程，考試中若出現相關選項，通常視為安全給藥的重要環節。