— 生理適應 · HARD · MCQ —
一位因胸部與臉部燒傷的病患入院。對此病患的首要評估為何？
A client is admitted with burns on the chest and face. What is the priority assessment for this client?
- AFluid intake and output液體攝取量與排出量
- BAirway patency✓ 正解呼吸道暢通情形
- CSkin graft assessment皮膚移植評估
- DPain management疼痛管理
— Explanation · 中文詳解 —
燒傷病患的照護首重 ABC（Airway, Breathing, Circulation）原則。臉部與胸部燒傷極易合併吸入性損傷（inhalation injury），導致咽喉水腫與呼吸道阻塞，這是導致燒傷初期死亡的主因。因此，維持呼吸道通暢（airway patency）是所有護理介入中最優先的項目。
Care of burn patients follows the ABC (Airway, Breathing, Circulation) principle. Burns on the face and chest are highly likely to be associated with inhalation injury, leading to laryngeal edema and airway obstruction, which is the leading cause of death in the early burn phase. Therefore, maintaining airway patency is the highest priority of all nursing interventions.