護理師正在收納一位因腸胃炎導致嚴重脫水，且嗜睡、皮膚彈性差的病人。護理師應優先執行何種措施？
A nurse is admitting a client with severe dehydration secondary to gastroenteritis. The client is lethargic and has poor skin turgor. Which intervention should the nurse prioritize?
- AAdminister oral rehydration solution給予口服補液鹽
- BInitiate intravenous fluid resuscitation✓ 正解開始靜脈輸液復甦
- CEncourage clear liquids鼓勵攝取清流質
- DMonitor intake and output strictly嚴格監測出入量
該病人出現嚴重脫水且伴隨意識改變（嗜睡），顯示脫水已影響組織灌流與腦部功能，屬於循環系統的不穩定狀態。此時胃腸道吸收功能受損且病人意識不清，口服補充水分極易發生嗆咳或吸入性肺炎，因此必須優先執行靜脈輸液（IV Fluid Resuscitation），以快速恢復血容積並維持生命徵象，這是糾正休克風險的核心護理介入。
This client shows severe dehydration accompanied by altered mental status (lethargy), indicating that dehydration has affected tissue perfusion and brain function, representing circulatory instability. At this point, gastrointestinal absorptive function is impaired and the client's level of consciousness is decreased, so oral fluid intake carries a high risk of choking or aspiration pneumonia. Therefore, IV fluid resuscitation must be prioritized to quickly restore intravascular volume and maintain vital signs; this is the core nursing intervention for correcting shock risk.