— 降低風險 · EASY · MCQ —
護理師準備對成年病人進行肌肉注射。為降低神經損傷風險，哪一個部位是安全首選？
A nurse is preparing to administer an intramuscular injection to an adult client. Which of the following sites is the safest choice to minimize the risk of nerve injury?
- AVentrogluteal✓ 正解腹臀區
- BDorsogluteal背臀區
- CDeltoid三角肌
- DRectus femoris股直肌
— Explanation · 中文詳解 —
腹臀部（Ventrogluteal）因肌肉層厚且遠離大型神經與血管，是目前醫學界公認肌肉注射最安全的地點。背臀部因靠近坐骨神經，已逐漸被建議避免使用；三角肌雖常用，但僅限於少量藥物；股直肌通常用於自我注射且肌肉層較薄。
The ventrogluteal site is the safest choice for intramuscular injections in adults because it is thick with muscle and free from major nerves and blood vessels. This minimizes the risk of injury to the sciatic nerve, which is a significant concern with the dorsogluteal site.
✦ 台美臨床差異
美國教學皆強調腹臀部；台灣臨床慣用背臀部與三角肌，對腹臀部的教學與實踐相對較少。