# 一名護理師在注射後發生針扎傷害。護理師應首先採取哪項行動？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=397156&lang=zh-tw  
> language: zh-TW  
> subject: Incident Reporting  
> category: SIPC

## 題目

一名護理師在注射後發生針扎傷害。護理師應首先採取哪項行動？

## 選項

1. 在清潔傷口前完成事件報告。
2. 等待實驗室結果再通報暴露事件。
3. 立即用肥皂和水清洗傷口。 **✔ 正確答案**
4. 使用加壓敷料並繼續值班。

**正確答案: 3**

## 解析

針扎後立即的首要行動是用肥皂和水清洗傷口。通報、評估和記錄也是必要的，但應在立即處理傷口之後進行。等待或不通報而繼續值班會延誤暴露後處理。

## 深入解析

臨床判斷
使用個案線索、時間點、檢驗數據和安全風險，選擇最符合針扎傷害首要行動的回應。

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
對於針扎傷害首要行動，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** — 由使用過的針頭或尖銳器械造成的穿刺傷。
- **職業暴露** — 在工作職責期間發生的血液或體液暴露。
- **暴露後處理** — 在可能暴露於感染後進行的評估和後續照護。

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