# 一位護理師在治療嚴重高血鉀期間接到一項常規胰島素的電話醫囑。在執行醫囑前，哪項行動能完成閉環溝通流程？ > source: MyMerci (mymerci.kr) > url: https://mymerci.kr/pages/nclex_q.php?qn_id=498493&lang=zh-tw > language: zh-TW > subject: Client Rights > category: MOC ## 題目 一位護理師在治療嚴重高血鉀期間接到一項常規胰島素的電話醫囑。在執行醫囑前，哪項行動能完成閉環溝通流程？ ## 選項 1. 請另一位護理師根據書面記錄重述醫囑 2. 輸入醫囑並發送一則簡訊表示已收到 3. 在結束通話前重複個案的房間號碼和診斷 4. 複誦藥物、劑量、途徑和時間，並聽到確認 **✔ 正確答案** **正確答案: 4** ## 解析 核對確認需要接收者重複訊息，且發送者驗證其正確性。複誦藥物細節並聽到確認，即完成溝通閉環。 ## 深入解析 快速解答 複誦完整的藥物醫囑，並獲得開立者的確認。接收者的複誦和發送者的驗證兩者都需要，才能閉合迴路。 為什麼這是正確的 電話醫囑可能被聽錯，尤其是當劑量、途徑或時間緊急時。重複確切的要素能讓開立者有機會在藥物送達個案前更正錯誤。 簡單比喻或心智圖像 閉環溝通就像在司機出發前重複送貨地址，並聽到發送者說正確。這個類比顯示了確認，但藥物醫囑還需要記錄、授權和遵循機構政策。 記憶掛鉤 發送者說，接收者複誦，發送者確認：迴路閉合。 NCLEX 決策規則 對於口頭或電話醫囑，選擇能向原始發送者重複完整關鍵訊息並獲得確認的行動。筆記、簡訊或他人的解釋無法與訊息來源進行驗證。 為什麼其他選項是錯的 另一位護理師沒有聽到原始訊息。簡訊僅確認收到，而重複房間號碼和診斷並未驗證藥物、劑量、途徑或時間。參考文獻 - [1]NCSBN: 2026 NCLEX-RN Test PlanNational Council of State Boards of Nursing - [2]AHRQ TeamSTEPPS: Check-Back or Repeat-BackAgency for Healthcare Research and Quality ## 相同主題題目 - [A 45-year-old male is alert and oriented ×4 and is actively bleeding from a gastrointestin…](https://mymerci.kr/pages/nclex_q.php?qn_id=372683&lang=zh-tw) - [A 70-year-old Vietnamese-speaking woman is admitted for syncope evaluation. Her 18-year-ol…](https://mymerci.kr/pages/nclex_q.php?qn_id=372701&lang=zh-tw) - [A 56-year-old patient scheduled for an elective hip replacement tomorrow tells the nurse, …](https://mymerci.kr/pages/nclex_q.php?qn_id=372748&lang=zh-tw) - [A nurse is giving a handoff report for a client whose blood pressure is falling and urine …](https://mymerci.kr/pages/nclex_q.php?qn_id=397242&lang=zh-tw) - [A nurse receives a telephone prescription to administer potassium chloride by IV push for …](https://mymerci.kr/pages/nclex_q.php?qn_id=397302&lang=zh-tw) - [A client being evaluated for intermittent chest pain says, "I need to leave now." The clie…](https://mymerci.kr/pages/nclex_q.php?qn_id=497624&lang=zh-tw) - [A nurse realizes that an assessment completed earlier in the shift was not documented. Whi…](https://mymerci.kr/pages/nclex_q.php?qn_id=497913&lang=zh-tw) - [A medical unit wants to reduce client falls using the Plan-Do-Study-Act approach. Which ac…](https://mymerci.kr/pages/nclex_q.php?qn_id=498087&lang=zh-tw) ## 以其他語言閱讀 - [en](https://mymerci.kr/pages/nclex_q.php?qn_id=498493&lang=en) - [ko](https://mymerci.kr/pages/nclex_q.php?qn_id=498493&lang=ko) - [ja](https://mymerci.kr/pages/nclex_q.php?qn_id=498493&lang=ja) - [zh-TW](https://mymerci.kr/pages/nclex_q.php?qn_id=498493&lang=zh-tw) - [vi](https://mymerci.kr/pages/nclex_q.php?qn_id=498493&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。_