# 一位護理師將預定口服藥物延遲2小時給予，個案並無不良反應。在依政策要求評估個案並通知醫師後，下列何項措施為適當？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=397132&lang=zh-tw  
> language: zh-TW  
> subject: Informed Consent  
> category: MOC

## 題目

一位護理師將預定口服藥物延遲2小時給予，個案並無不良反應。在依政策要求評估個案並通知醫師後，下列何項措施為適當？

## 選項

1. 將事件報告副本放入病歷中。
2. 因未造成傷害，故記錄該劑量準時給予。
3. 根據政策完成機構的安全事件報告。 **✔ 正確答案**
4. 詢問個案是否應通報此次延遲給藥。

**正確答案: 3**

## 解析

給藥時間錯誤應透過機構的安全事件通報流程進行通報，以便審查趨勢並改善系統。事件報告不應置入病歷中。即便無傷害發生，記錄仍須保持事實且準確。

## 深入解析

臨床判斷
運用個案線索、時間點、檢驗數據及安全風險，選擇最符合給藥時間錯誤通報的回應。

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

臨床實務指引
針對給藥時間錯誤通報，將完整的線索模式與個案當前的穩定性、醫囑數據及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，切勿僅根據單一線索選擇行動。

## 重要概念

- **安全事件報告** — 一種用於分析錯誤或幾近錯誤並改善系統的內部報告。
- **給藥錯誤** — 可能導致不當用藥或傷害的可預防事件。
- **品質改善** — 改善照護流程與結果的系統性工作。

## 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 scheduled for colon resection has signed the consent form but says, "I still do n…](https://mymerci.kr/pages/nclex_q.php?qn_id=393660&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 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=397132&lang=en)
- [ko](https://mymerci.kr/pages/nclex_q.php?qn_id=397132&lang=ko)
- [ja](https://mymerci.kr/pages/nclex_q.php?qn_id=397132&lang=ja)
- [zh-TW](https://mymerci.kr/pages/nclex_q.php?qn_id=397132&lang=zh-tw)
- [vi](https://mymerci.kr/pages/nclex_q.php?qn_id=397132&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。_