護理師接到四位病人的交班報告，應優先評估哪位病人？
A nurse receives report on four clients. Which client should the nurse assess first?
- AA client with a newly applied leg cast complaining of tingling and numbness✓ 正解一位剛打上腿部石膏，主訴有刺痛和麻木感的病人
- BA client who is requesting pain medication for moderate discomfort一位因中度不適要求止痛藥的病人
- CA client with a peripheral IV line that has been in place for 72 hours一位周邊靜脈留置針已放置 72 小時的病人
- DA client with type 2 diabetes and a blood glucose of 140 mg/dL一位第二型糖尿病且血糖為 140 mg/dL 的病人
在護理交班優先順序（Prioritization）中，必須優先評估具有生命威脅或器官受損風險的病人。剛上石膏的病人出現麻木與刺痛，是神經血管受損（Neurovascular compromise）的早期警訊，若不立即處理可能導致腔室症候群（Compartment Syndrome），進而造成永久性神經損傷或肢體壞死。護理師需評估神經血管狀態（CMS：循環、感覺、活動度），若症狀持續則需立即通知醫師。
In nursing handoff prioritization, patients with life-threatening conditions or risk of organ damage must be assessed first. A patient with a newly applied cast presenting with numbness and tingling shows early warning signs of neurovascular compromise; if not handled immediately, this may lead to compartment syndrome, causing permanent nerve damage or limb necrosis. The nurse must assess neurovascular status (CMS: circulation, motion, sensation), and if symptoms persist, the physician must be notified immediately.
在美國臨床，更換 IV 管路的時程（如 72 小時或 96 小時）高度依賴各醫院的政策（Policy），且現代實證傾向於「按臨床需求更換（clinically indicated）」而非單純看時間，這與台灣部分醫院嚴格執行 72 小時更換略有差異。