— 照護管理 · HARD · MCQ —
護理師發現給藥錯誤，給了兩倍藥量。哪項行動為優先？
A nurse discovers a medication error where the client received double the ordered dose. Which action is the priority?
- AComplete an incident report完成事件報告
- BDocument the error in the medical record在病歷中記錄錯誤
- CAssess the client for adverse effects✓ 正解評估病人是否有不良反應
- DNotify the physician immediately立即通知醫師
— Explanation · 中文詳解 —
護理程序（Nursing process）強調「評估」（Assessment）為首要動作。當發生給藥錯誤時，先評估病人是否出現立即的生理副作用（如心跳過速、意識改變），比行政通報更具備生命安全優先級。根據病人狀況決定是否需要緊急醫療處置，是 ABC 原則（Airway, Breathing, Circulation）的具體落實。
The priority action is to assess the client for adverse effects, as patient safety is the highest priority following a medication error. Administrative tasks like incident reports and documentation are important but must follow the immediate assessment of the client's physiological status.