# 預定接受結腸切除術的個案已簽署同意書，但說：「我還是不懂為什麼需要這個手術。」護理師應採取哪項行動？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=393660&lang=zh-tw  
> language: zh-TW  
> subject: Informed Consent  
> category: MOC

## 題目

預定接受結腸切除術的個案已簽署同意書，但說：「我還是不懂為什麼需要這個手術。」護理師應採取哪項行動？

## 選項

1. 因已簽署同意書，給予術前用藥。
2. 通知外科醫師，個案在手術前需要更多說明。 **✔ 正確答案**
3. 由護理師說明所有手術風險與效益，以免延誤時程。
4. 請家屬安撫個案並說服手術必要性。

**正確答案: 2**

## 解析

知情同意必須是自願且基於充分理解。執行手術的醫師或提供者負責說明風險、效益與替代方案。個案表示不理解時，護理師應暫停流程並通知提供者，以維護個案權益。

## 深入解析

臨床判斷
已簽名不代表真正理解並知情同意。

記憶重點
護理師見證與倡議；提供者負責說明程序。

## 臨床情境

實務指引
知情同意保護個案自主權，侵入性處置前需有提問機會。

注意
同意有效性有疑慮時，不要急著給術前藥物。

## 重要概念

- **知情同意** — 個案接收並理解程序相關資訊後，自願做出的決定。
- **病人倡議** — 保護個案權利、安全與知情決策的護理行動。
- **自主權** — 個案在獲得充分資訊後做出醫療決定的權利。

## 相同主題題目

- [A client scheduled for colon resection has signed the consent form but says, "I still do n…](https://mymerci.kr/pages/nclex_q.php?qn_id=393659&lang=zh-tw)
- [A client who speaks limited English is scheduled for surgery and has questions before sign…](https://mymerci.kr/pages/nclex_q.php?qn_id=394067&lang=zh-tw)
- [A client who speaks limited English is scheduled for surgery and has questions before sign…](https://mymerci.kr/pages/nclex_q.php?qn_id=394068&lang=zh-tw)
- [A client who speaks limited English is scheduled for a nonemergency procedure. The adult c…](https://mymerci.kr/pages/nclex_q.php?qn_id=396569&lang=zh-tw)
- [A client who speaks limited English is scheduled for a nonemergency procedure. The adult c…](https://mymerci.kr/pages/nclex_q.php?qn_id=396570&lang=zh-tw)
- [A nurse gives a scheduled oral medication 2 hours late and the client has no adverse effec…](https://mymerci.kr/pages/nclex_q.php?qn_id=397132&lang=zh-tw)
- [A client scheduled for surgery states, "I will not accept blood products for religious rea…](https://mymerci.kr/pages/nclex_q.php?qn_id=397239&lang=zh-tw)
- [A client scheduled for surgery states, "I will not accept blood products for religious rea…](https://mymerci.kr/pages/nclex_q.php?qn_id=397240&lang=zh-tw)

## 以其他語言閱讀

- [en](https://mymerci.kr/pages/nclex_q.php?qn_id=393660&lang=en)
- [ko](https://mymerci.kr/pages/nclex_q.php?qn_id=393660&lang=ko)
- [ja](https://mymerci.kr/pages/nclex_q.php?qn_id=393660&lang=ja)
- [zh-TW](https://mymerci.kr/pages/nclex_q.php?qn_id=393660&lang=zh-tw)
- [vi](https://mymerci.kr/pages/nclex_q.php?qn_id=393660&lang=vi)

---

More free questions: [NCLEX-RN 題庫](https://mymerci.kr/pages/nclex_bank.php?lang=zh-tw)

_僅供學習參考。實際臨床請遵循最新指引與所屬機構規範。_