# 護理師在未上鎖的床邊藥物抽屜中發現一瓶濃縮氯化鉀。哪項行動是優先事項？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=522894&lang=zh-tw  
> language: zh-TW  
> subject: Adverse Effects/Contraindications/Interactions  
> category: PPT

## 題目

護理師在未上鎖的床邊藥物抽屜中發現一瓶濃縮氯化鉀。哪項行動是優先事項？

## 選項

1. 將其從病人護理庫存中移除，根據高警訊藥物政策妥善保管，並報告儲存系統的故障。 **✔ 正確答案**
2. 將其留在原處，因為藥瓶未開封。
3. 準備未稀釋的靜脈推注劑量用於嚴重低血鉀。
4. 將其放在生理食鹽水沖洗液旁邊，以便更容易找到。

**正確答案: 1**

## 解析

濃縮氯化鉀是一種高警訊藥物，應從病人護理庫存中移除，並儲存在受限制的標準化位置。絕不能直接靜脈推注給藥。

## 深入解析

快速解答
使用受限制的儲存和受控的稀釋來預防致命的鉀錯誤。

為何這是正確的
單獨的警告標籤不如將濃縮液從常規床邊取用中移除更有效。

簡單類比或心像
建立藥物安全鏈：識別新的徵兆，將其與藥物作用機制或標示限制連結，停止可預防的暴露，穩定病人，並驗證可測量的反應。

記憶點
藥物、緊急徵兆、保護性措施和再評估終點。

NCLEX 決策規則
選擇能預防最直接藥物相關傷害的措施，同時保留指示治療和必要的監測。

為何其他選項是錯誤的
繼續可疑暴露、將標示的危險徵兆正常化、替代未經授權的劑量或延遲升級的選項會使病人處於危險之中。References
1DailyMed and ISMP: Concentrated Potassium Chloride SafetyRestricted storage and prevention of direct intravenous administration
2ISMP Targeted Medication Safety Best Practices for HospitalsRemoval and restricted storage of concentrated electrolytes and high-alert medication system barriers

## 臨床情境

藥物安全審查
核實適應症、當前評估、劑量和途徑、器官功能、交互作用、緊急毒性徵兆、授權行動和可測量的後續追蹤。

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