# 護理師給病人服用了 metoprolol 50 mg PO，而非處方開立的 metformin 500 mg PO。病人的心率從 78 次/分降至 52 次/分，血壓為 98/60 mm Hg。護理師應採取哪些行動？請全部選取。

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=505778&lang=zh-tw  
> language: zh-TW  
> subject: Management of Care  
> category: MOC

## 題目

護理師給病人服用了 metoprolol 50 mg PO，而非處方開立的 metformin 500 mg PO。病人的心率從 78 次/分降至 52 次/分，血壓為 98/60 mm Hg。護理師應採取哪些行動？請全部選取。

1

評估病人的意識狀態和呼吸狀況。

2

立即通知醫療照護提供者。

3

在健康紀錄中記錄給藥的藥物和病人的反應。

4

完成事件報告，並將副本放入病人病歷中。

5

請同事再次核對給藥紀錄。

6

在接下來 1 小時內，每 15 分鐘監測一次病人的生命徵象。

## 解析

給藥錯誤後，優先評估病人是否有不良反應，包括意識狀態和呼吸狀況，因為 metoprolol 可能導致心搏過緩和低血壓。必須立即通知醫療照護提供者，以取得進一步醫囑並減少傷害。護理師應客觀地將錯誤事實和病人反應記錄在健康紀錄中。頻繁監測生命徵象對於偵測病情惡化至關重要。應完成事件報告，但絕不可放入病人病歷或於健康紀錄中提及。錯誤發生後，請同事再次核對給藥紀錄並非立即應採取的行動。

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