— 照護管理 · MEDIUM · MCQ —
護理師進行交班時，哪項資訊最需要立即確認？
A nurse is receiving a handoff report. Which information is the most important to clarify immediately?
- AThe client's favorite meal is not on the menu病人的最愛餐點不在菜單上
- BThe client has a scheduled physical therapy session病人已預約物理治療課程
- CThe client's family member is at the bedside病人的家屬在床邊
- DThe client's potassium level is 2.8 mEq/L✓ 正解病人的鉀離子濃度為 2.8 mEq/L
— Explanation · 中文詳解 —
交班（Hand-off Report）時，護理師必須優先關注危及生命的指標。低血鉀（Hypokalemia，如 2.8 mEq/L）會顯著影響心肌電生理，導致嚴重的心律不整，對病人的生命構成直接威脅。此類臨界值（Critical Lab Values）必須在交班時優先處理並記錄，確保接班護理師能立即採取行動。
During handoff report, the nurse must give priority to life-threatening findings. Hypokalemia (such as a potassium of 2.8 mEq/L) significantly affects cardiac electrophysiology and can cause severe dysrhythmias, posing a direct threat to life. Such critical lab values must be addressed and documented first during handoff so that the oncoming nurse can take immediate action.