護理師正在為四位病患規劃照護優先序，交班後應優先評估哪一位？
A nurse is planning care for four clients. Which client should the nurse assess first at the beginning of the shift?
- AA client with a new diagnosis of hypertension scheduled for discharge新診斷高血壓且安排出院的病人
- BA client with chronic heart failure requesting assistance with morning hygiene慢性心衰竭且請求協助晨間衛生的病人
- CA client with a postoperative appendectomy complaining of sudden-onset shortness of breath✓ 正解闌尾切除術後主訴突發呼吸困難的病人
- DA client with type 2 diabetes who has a fasting blood glucose of 140 mg/dL空腹血糖為 140 mg/dL 的第二型糖尿病病人
護理師交班後應依據 ABC 原則（Airway, Breathing, Circulation）進行優先評估。術後病人突然出現呼吸困難（Shortness of breath），高度懷疑肺栓塞（PE）或氣胸等致命性併發症，這危及氧合與生命，必須最先處理。其他選項如慢性病血糖偏高或準備出院的病人，狀況相對穩定。
After handoff, the nurse should prioritize assessment using the ABC principle (Airway, Breathing, Circulation). A postoperative client with sudden-onset shortness of breath should raise a high suspicion for a life-threatening complication such as pulmonary embolism (PE) or pneumothorax, which compromises oxygenation and life and must be addressed first. Other options, such as elevated blood glucose in a client with chronic disease or a client preparing for discharge, are relatively stable.