— 照護管理 · HARD · SATA —
護理長應優先查看下列哪些病人？（選所有適合的）
Which of the following clients should the charge nurse see first? (Select all that apply.)
- AA client with an asthma attack and audible wheezing✓ 正解氣喘發作且可聞及喘鳴聲的病人
- BA client requesting pain medication for chronic back pain要求慢性背痛止痛藥的病人
- CA client with a new onset of sudden confusion and slurred speech✓ 正解新發突發性意識混亂和語謔的病人
- DA client who has developed signs of anaphylaxis after an antibiotic infusion✓ 正解抗生素靜脈注射後出現過敏性休克跡象的病人
- EA client complaining of mild nausea after breakfast早餐後抱怨輕微噁心的病人
— Explanation · 中文詳解 —
根據優先順序評估（ABC 原則），氣喘急性發作（A）、疑似腦中風症狀（C）與過敏性休克（D）皆屬於威脅生命或導致永久性損害的緊急狀態，需優先處理。慢性疼痛（B）與輕微噁心（E）雖需要處理，但優先級低於上述緊急狀況。
According to priority-setting principles (the ABC framework), an acute asthma attack (A), suspected stroke symptoms (C), and anaphylactic shock (D) all represent life-threatening or potentially permanently disabling emergencies that must be addressed first. Chronic pain (B) and mild nausea (E) require attention but rank below these acute emergencies.
✦ 台美臨床差異
台灣病房醫護比高，護理師需在多位緊急病人中進行 Triaging，壓力較大。