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降低風險 · EASY · MCQ

一位病人剛從術後恢復室返回,進行腹部手術後。護理師應優先採取哪項行動?

A nurse is caring for a client who has just returned from the post-anesthesia care unit following an abdominal surgery. Which action should the nurse take first?

  • AAssess the intravenous infusion site
    評估靜脈輸液部位
  • BMonitor vital signs
    監測生命徵象
  • CCheck the patency of the airway✓ 正解
    檢查氣道是否暢通
  • DAssess the surgical incision site
    評估手術切口部位
Explanation · 中文詳解

術後病人返回病房,護理師的首要任務是確保生理功能穩定,依據 ABC(氣道、呼吸、循環)原則,氣道(Airway)永遠是最高優先級。麻醉藥物可能導致舌根後墜或呼吸道阻塞,因此在進行傷口評估或監測生命徵象前,必須先確認呼吸道暢通。若氣道阻塞,後續的所有評估皆無法發揮效益,確保呼吸道安全是術後護理的基石。

When a postoperative client returns to the unit, the nurse's first priority is to ensure stable physiologic function according to the ABC principle (Airway, Breathing, Circulation); airway is always the top priority. Anesthetic agents may cause tongue obstruction or other airway compromise, so airway patency must be confirmed before assessing the wound or vital signs. If the airway is obstructed, no other assessments are useful. Ensuring airway safety is the cornerstone of postoperative nursing care.

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