護理師準備發藥給一組病人，哪一位應優先處理？
A nurse is preparing to administer medications to a group of clients. Which client should the nurse see first?
- AA client with diabetes scheduled for morning insulin一位預約早晨胰島素的糖尿病客戶
- BA client complaining of chest pain after taking sublingual nitroglycerin✓ 正解一位含服硝酸甘油後抱怨胸痛的客戶
- CA client with hypertension requesting their scheduled dose一位要求給予預定劑量的高血壓客戶
- DA client with a scheduled antibiotic dose一位預約抗生素劑量的客戶
護理評估需依據優先順序原則，胸痛代表急性冠心症風險。即便已服用硝化甘油，若疼痛未緩解，代表藥物效力不足或病情惡化，必須優先評估心電圖及生命徵象。糖尿病胰島素與高血壓藥物雖重要，但在無急性症狀下，優先順序低於持續性胸痛者。
Nursing assessment must follow priority principles, and chest pain indicates the risk of an acute coronary event. Even after the client has taken nitroglycerin, if pain remains unrelieved it suggests that the medication's effect is insufficient or that the condition is worsening; the nurse must therefore prioritize evaluating the ECG and vital signs. Insulin for the diabetic client and antihypertensive medication, while important, are lower priority in the absence of acute symptoms compared with persistent chest pain.
台美護理師對於優先順序的判斷原則一致，均遵循 ABC (Airway, Breathing, Circulation) 以及穩定病人優先的概念。