# 護理師在忙碌的單位觀察藥物準備過程。哪項行為需要立即糾正？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=498856&lang=zh-tw  
> language: zh-TW  
> subject: Adverse Effects/Contraindications/Interactions  
> category: SIPC

## 題目

護理師在忙碌的單位觀察藥物準備過程。哪項行為需要立即糾正？

## 選項

1. 在放置用過的血糖檢測設備的托盤旁準備注射藥物 **✔ 正確答案**
2. 在抽取醫囑注射藥物前，消毒藥瓶的橡皮塞
3. 在組裝無菌注射用品前執行手部衛生
4. 使用後將針頭和針筒丟棄於銳器收集盒

**正確答案: 1**

## 解析

注射藥物應在指定的清潔區域準備，與受污染的設備分開。用過的血糖檢測用品可能引入血源性污染，因此應停止準備並移至清潔工作區。

## 深入解析

快速解答
停止在用過的設備旁準備注射藥物，並將其移至指定的清潔區域。

為什麼這是正確的
無菌準備取決於將清潔的藥物用品與受污染的物品分開。附近放置用過的血糖檢測設備的托盤，會為微生物或血液創造一條可預防的途徑，使其接觸藥瓶、針筒、雙手或準備檯面。

簡單比喻或心智圖像
藥物準備區就像廚房砧板的乾淨面；受污染的工具則放在另一面。此比喻解釋了分開的概念，但並不表示家務清潔規則足以用於臨床無菌操作。

記憶掛鉤
清潔的藥物需要一個遠離用過設備的清潔區域。

NCLEX 決策規則
當清潔準備與受污染的照護活動共用空間時，應糾正注射操作。維持手部衛生、橡皮塞消毒、單次使用器械處理及立即的銳器丟棄。

為什麼其他選項是錯的
橡皮塞消毒、手部衛生及立即的銳器丟棄是預期的安全行為。它們不會造成第一個選項所示的清潔與污染混淆的違規。參考文獻

- [1]NCSBN: 2026 NCLEX-RN Test PlanNational Council of State Boards of Nursing

- [2]Preventing Unsafe Injection PracticesU.S. Centers for Disease Control and Prevention

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