# 護理師審查從轉移文件複製的藥物醫囑。請標示出在輸入藥物給藥紀錄前需要澄清的項目。

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=513810&lang=zh-tw  
> language: zh-TW  
> subject: Medication Administration  
> category: PPT

## 題目

護理師審查從轉移文件複製的藥物醫囑。請標示出在輸入藥物給藥紀錄前需要澄清的項目。

| 轉移項目 | 複製的藥物醫囑 |
| --- | --- |
| Pain | Hydromorphone 1.0 mg IV every 3 hours as needed |
| Cardiac | Digoxin .125 mg by mouth daily |
| Diabetes | Regular insulin 6 U subcutaneously before breakfast |
| Thyroid | Levothyroxine 50 mcg QD |
| Nausea | Ondansetron 4 mg IV every 8 hours as needed |
| Anticoagulation | Heparin 5,000 units subcutaneously every 8 hours |
| Anxiety | Lorazepam 0.5 mg by mouth at bedtime as needed |
| Supplement | Folic acid 1 mg by mouth daily |
| Fever | Acetaminophen 650 mg by mouth every 6 hours as needed |

## 解析

尾隨零、缺少前導零、縮寫 U 和 QD 容易出錯。完整的詞語和明確的公制表達可以減少十倍和途徑/頻率錯誤。

## 深入解析

快速解答
澄清 hydromorphone 1.0 mg、digoxin .125 mg、insulin 6 U 和 levothyroxine 50 mcg QD。

為何這是正確的
ISMP 將尾隨零、缺少前導零、U 和 QD 識別為容易出錯的劑量或頻率標記。在將醫囑輸入 MAR 之前，每個都應以明確的形式重寫。

簡單類比或心像
不安全的標記就像銀行轉帳上的模糊小數點：預期金額對一個讀者來說可能很明顯，但對下一個讀者來說卻很危險。

記憶點
無尾隨零；使用前導零；拼寫出單位和每日。

NCLEX 決策規則
當醫囑可能被誤讀時，在輸入或給藥前澄清並重寫。熟悉預期含義並不能使標記安全。

為何其他選項是錯誤的
其餘行使用完整的藥物名稱、在需要時使用前導零、沒有尾隨零，以及拼寫出的頻率或單位。References
1ISMP Error-Prone Abbreviations ListUnsafe abbreviations and dose designations

## 臨床情境

安全標記檢查
審查藥物、劑量、小數點位置、單位、途徑和頻率。不要默默地將模糊的醫囑正常化。

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