— 照護管理 · MEDIUM · MCQ —
護理師正在照護一組病人，下列哪位病人應優先評估？
A nurse is caring for a group of clients. Which client should the nurse prioritize to see first?
- AA client with a new onset of sudden confusion✓ 正解新出現突發性意識混亂的病人
- BA client requesting pain medication for chronic back pain要求慢性背痛止痛藥物的病人
- CA client ready for discharge planning準備進行出院規劃的病人
- DA client with diabetes requesting a snack要求點心的糖尿病病人
— Explanation · 中文詳解 —
護理師在處理多位病人時，必須運用優先順序原則（Prioritization），即先處理「威脅生命（Life-threatening）」或「狀況急性惡化」的病人。突發性意識混亂（Sudden confusion）在臨床上屬於神經學狀態的重大改變，可能隱含缺氧、低血糖、敗血症或中風等致命原因，屬於『不穩定（Unstable）』狀況，必須優先評估。
When managing several patients at once, the nurse must apply the principle of prioritization, attending first to those who are 'life-threatened' or 'acutely deteriorating.' Sudden confusion clinically represents a major change in neurological status and may indicate life-threatening causes such as hypoxia, hypoglycemia, sepsis, or stroke; this constitutes an 'unstable' condition and must be assessed first.