# 護理師在注射後發生針扎傷害。護理師應首先做什麼？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=396603&lang=zh-tw  
> language: zh-TW  
> subject: Accident/Error/Injury Prevention  
> category: SIPC

## 題目

護理師在注射後發生針扎傷害。護理師應首先做什麼？

## 選項

1. 用肥皂和水清洗該區域，並遵循暴露通報程序。 **✔ 正確答案**
2. 完成值班，並在一天結束時通報此傷害。
3. 在穿刺部位上方使用止血帶。
4. 如果針頭看起來乾淨，則忽略此傷害。

**正確答案: 1**

## 解析

針扎傷害後，立即清潔和迅速通報至關重要，以便能開始暴露評估和暴露後處理。等待或忽略傷害會延誤照護。止血帶並非標準初步反應的一部分。

## 深入解析

臨床判斷
利用個案線索、時機、檢驗數據和安全風險，選擇最符合針扎暴露的回應。

記憶提示
將最強的線索群與最安全的護理判斷配對。

KR vs US
NCLEX考題獎勵基於線索的優先思考，而非單獨的記憶。

## 臨床情境

臨床實踐指引
針對針扎暴露，將完整的線索模式與個案當前的穩定性、醫囑數據和預期的護理範圍進行比較。

注意
當完整情境改變了優先順序或安全性時，不要僅根據單一線索選擇行動。

## 重要概念

- **針扎傷害** — 由針頭造成的穿刺傷，可能使工作人員暴露於血源性病原體。
- **暴露後處理** — 在潛在暴露於感染性物質後進行的評估和介入措施。
- **血源性病原體** — 透過血液或特定體液傳播的微生物。

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