— 安全與感染控制 · MEDIUM · MCQ —
交班後，護理師應先去評估哪位病人？
Which client should the nurse visit first after receiving the shift report?
- AClient who is confused and pulling at their IV line✓ 正解意識混亂並拉扯靜脈留置針的病人
- BClient who just received their scheduled oral medication剛接受預定口服藥物的病人
- CClient scheduled for a procedure in 2 hours兩小時後預定進行處置的病人
- DClient requesting pain relief for stable chronic pain因穩定之慢性疼痛要求止痛的病人
— Explanation · 中文詳解 —
護理師優先處理的是具潛在危險與急性需求者。病人拔除靜脈管路（Pulling at IV）不僅中斷治療，更可能引發靜脈炎、出血或細菌感染。相較於其他穩定個案，這類病人具備急性安全性威脅，應優先介入以確保安全。
The nurse should prioritize the client with the greatest potential danger and acute needs. A client pulling at the IV not only interrupts therapy but may also cause phlebitis, bleeding, or bacterial infection. Compared with other stable clients, this client poses an acute safety threat and should be addressed first to ensure safety.
✦ 台美臨床差異
美台護理師在優先順序判斷上邏輯一致，皆是「先顧命、再顧治療、最後顧舒適」。