— 照護管理 · MEDIUM · MCQ —
護理師照護多位病人，哪一位應優先處理？
A nurse is caring for multiple clients. Which client should the nurse see first?
- AA client awaiting discharge papers for home一位等待出院文件回家之病人
- BA client with diabetes requesting an insulin adjustment一位要求調整胰島素劑量之糖尿病病人
- CA client with a painful IV infiltration at the site一位注射部位發生疼痛性靜脈滲漏之病人
- DA client with a new onset of confusion and slurred speech✓ 正解一位新出現意識混亂和語音不清之病人
— Explanation · 中文詳解 —
護理師在處理多位病人時，必須運用 ABC（Airway, Breathing, Circulation）原則與危急程度進行排序。意識改變（Confusion）與語言不清（Slurred speech）是急性中風（Stroke）的典型神經學異常，若不即時處理，會造成腦部永久損傷。這是威脅生命的緊急狀況，優先級高於一般內科需求或出院準備。
When caring for several clients, the nurse must prioritize using the ABC (airway, breathing, circulation) approach and the level of acuity. New-onset confusion and slurred speech are classic neurologic findings of acute stroke; if not treated promptly, permanent brain injury may occur. This is a life-threatening emergency that takes priority over routine medical needs or discharge preparation.