— 安全與感染控制 · MEDIUM · MCQ —
在交接班後,護理師應優先巡視哪位病人?
Which client should the nurse visit first after receiving the change-of-shift report?
- AA client with a fever of 102°F (38.9°C) and hypotension✓ 正解一位體溫102°F (38.9°C)且低血壓的病人
- BA client asking for a pain medication一位要求止痛藥的病人
- CA client requiring a dressing change一位需要換藥的病人
- DA client waiting for discharge papers一位等待出院文件的病人
— Explanation · 中文詳解 —
護理師優先順序依 ABC (Airway, Breathing, Circulation) 原則。發燒伴隨低血壓顯示可能有敗血性休克(Septic Shock),屬於 Circulation 急症,必須立即處理。
Nursing prioritization follows the ABC principle (Airway, Breathing, Circulation). Fever accompanied by hypotension suggests possible septic shock, a Circulation emergency that requires immediate intervention.
✦ 台美臨床差異
兩地護理交班皆使用 ISBAR 等架構,優先次序決策模式一致。