# 第5階段 — 採取行動。根據護理師應為此個案做出的用藥安全決策，將每項治療進行分類。 > source: MyMerci (mymerci.kr) > url: https://mymerci.kr/pages/nclex_q.php?qn_id=568688&lang=zh-tw > language: zh-TW > subject: Safety and Infection Prevention and Control > category: SIPC ## 題目 第5階段 — 採取行動。根據護理師應為此個案做出的用藥安全決策，將每項治療進行分類。 **1.** 醫囑催產素輸注 Select a category Clarify because of asthma Clarify because of hypertension Proceed under the active hemorrhage protocol Not an immediate hemorrhage-control intervention **2.** 醫囑靜脈注射傳明酸 Select a category Clarify because of asthma Clarify because of hypertension Proceed under the active hemorrhage protocol Not an immediate hemorrhage-control intervention **3.** 醫囑等張晶體溶液 Select a category Clarify because of asthma Clarify because of hypertension Proceed under the active hemorrhage protocol Not an immediate hemorrhage-control intervention **4.** 麥角新鹼合併持續性高血壓 Select a category Clarify because of asthma Clarify because of hypertension Proceed under the active hemorrhage protocol Not an immediate hemorrhage-control intervention **5.** 卡前列素合併活動性氣喘 Select a category Clarify because of asthma Clarify because of hypertension Proceed under the active hemorrhage protocol Not an immediate hemorrhage-control intervention **6.** 口服鐵劑作為活動性出血的唯一處置 Select a category Clarify because of asthma Clarify because of hypertension Proceed under the active hemorrhage protocol Not an immediate hemorrhage-control intervention ## 解析 催產素、傳明酸和等張晶體溶液可以根據現行處置流程進行。麥角新鹼應因高血壓而澄清，卡前列素應因氣喘而澄清，口服鐵劑並非立即止血的介入措施。 ## 深入解析 快速解答 繼續執行安全的處置組合，針對此個案的風險澄清麥角新鹼和卡前列素，並拒絕將口服鐵劑作為急性控制措施。 為何這是正確的 用藥安全需要兼顧緊急性和禁忌症篩查。處置流程並不能免除護理師識別與高血壓或氣喘衝突藥物的職責。 簡單類比或心像 同時透過兩個篩選器來分類醫囑：它現在能止血嗎？它對此個案的血壓和呼吸道病史安全嗎？ 記憶點 出血的緊急性絕不能取消禁忌症檢查。 NCLEX 決策規則 在緊急處置組合中，應迅速執行安全的有效醫囑，並澄清個案特定的禁忌症，同時不延遲其他適當的介入措施。 為何其他選項是錯誤的 長期鐵劑補充計畫不能替代止血，而已知的高血壓或氣喘會使自動給予標示的子宮收縮劑變得不安全。 參考資料 1WHO Consolidated Guidelines for Postpartum Haemorrhage早期辨識與組合式子宮按摩、子宮收縮劑、傳明酸、輸液、檢查和升級處置 2ACOG Practice Bulletin 183: Postpartum Hemorrhage子宮收縮乏力、低血容、量化失血量和出血照護升級 ## 臨床情境 病例更新 數項緊急醫囑同時出現。護理師根據個案目前的出血、高血壓和氣喘病史，逐一核對每項醫囑。 ## 相同主題題目 - [A patient on day 8 of induction chemotherapy for acute myeloid leukemia has an absolute ne…](https://mymerci.kr/pages/nclex_q.php?qn_id=372846&lang=zh-tw) - [A patient is admitted with a urine culture positive for Klebsiella pneumoniae carbapenemas…](https://mymerci.kr/pages/nclex_q.php?qn_id=373257&lang=zh-tw) - [A nurse is implementing the IHI central-line-associated bloodstream infection (CLABSI) pre…](https://mymerci.kr/pages/nclex_q.php?qn_id=373865&lang=zh-tw) - [A perioperative nurse is implementing the surgical site infection (SSI) prevention bundle …](https://mymerci.kr/pages/nclex_q.php?qn_id=374199&lang=zh-tw) - [A nurse is administering doxorubicin (a vesicant chemotherapy agent) through a peripheral …](https://mymerci.kr/pages/nclex_q.php?qn_id=374920&lang=zh-tw) - [A patient is admitted with confirmed Clostridioides difficile (C. diff) infection — profus…](https://mymerci.kr/pages/nclex_q.php?qn_id=374937&lang=zh-tw) - [A home health nurse visiting a 78-year-old with dementia notices unexplained bruises in va…](https://mymerci.kr/pages/nclex_q.php?qn_id=374965&lang=zh-tw) - [A client admitted 18 hours after the last alcohol drink has tremor, diaphoresis, BP 168/96…](https://mymerci.kr/pages/nclex_q.php?qn_id=374984&lang=zh-tw) ## 以其他語言閱讀 - [en](https://mymerci.kr/pages/nclex_q.php?qn_id=568688&lang=en) - [ko](https://mymerci.kr/pages/nclex_q.php?qn_id=568688&lang=ko) - [ja](https://mymerci.kr/pages/nclex_q.php?qn_id=568688&lang=ja) - [zh-TW](https://mymerci.kr/pages/nclex_q.php?qn_id=568688&lang=zh-tw) - [vi](https://mymerci.kr/pages/nclex_q.php?qn_id=568688&lang=vi) --- More free questions: [NCLEX-RN 題庫](https://mymerci.kr/pages/nclex_bank.php?lang=zh-tw) _僅供學習參考。實際臨床請遵循最新指引與所屬機構規範。_