# 輸血前，比對個案紀錄與血品。請點選血袋上不相容的資訊。

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=499744&lang=zh-tw  
> language: zh-TW  
> subject: Blood/Blood Products  
> category: PPT

## 題目

輸血前，比對個案紀錄與血品。請點選血袋上不相容的資訊。

![](https://mymerci.kr/data/nclex/hotspot/v4/v4_transfusion_mismatch.svg)

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Original NCLEX Hotspot clinical education asset. Keep all options equally prominent; never add an answer marker, circle, arrow, highlight, title, or watermark.
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## 解析

個案為B型Rh陽性，但紅血球血品標示A型Rh陽性。ABO不相容，不可開始輸血。

## 深入解析

快速解答
病人為 B 型陽性，但紅血球單位標示為 A 型陽性。ABO 血型不合，因此不可開始輸血。

為何正確
病人為 B 型陽性，而紅血球單位為 A 型陽性。此 ABO 血型不合，因此不可開始輸血。

簡易類比或情境聯想
將病人紀錄與血品單位標籤視為一次身分核對的兩半；所有必要的辨識資料與相容性要素都必須一致。

記憶掛鉤
A 型陽性紅血球單位與 B 型陽性病人紀錄不相容。

NCLEX 決策原則
輸血前即刻，須以規定的獨立核對方式，比對病人、醫囑、相容性紀錄與血品單位標籤。

為何其他選項錯誤
血品單位辨識碼與已確認的病人血型均為必要查核項目，但在此次比對中，A 型陽性單位標籤即為不相容要素。參考資料

- [1]NCBI Bookshelf: 輸血前檢驗

## 臨床情境

臨床情境
輸血前，護理師比對病人紀錄與血品單位。

護理師應注意事項
病人為 B 型陽性，但紅血球單位標示為 A 型陽性。ABO 血型不合，因此不可開始輸血。

轉化至實務
輸血前即刻，須以規定的獨立核對方式，比對病人、醫囑、相容性紀錄與血品單位標籤。

## 重要概念

- **ABO compatibility** — 配對紅血球抗原與受血者，以預防急性溶血反應。
- **Pretransfusion verification** — 輸血前完成的最終身分與相容性核對。

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