護理師正在進行身體評估。下列哪項是正確的評估順序？
A nurse is performing a physical assessment on a client. Which is the correct order of the assessment techniques?
- AAuscultation, Inspection, Palpation, Percussion聽診、視診、觸診、叩診
- BInspection, Auscultation, Percussion, Palpation視診、聽診、叩診、觸診
- CInspection, Palpation, Percussion, Auscultation✓ 正解視診、觸診、叩診、聽診
- DPalpation, Inspection, Percussion, Auscultation觸診、視診、叩診、聽診
一般身體評估的標準順序為「IPPA」：Inspection（視診）→ Palpation（觸診）→ Percussion（叩診）→ Auscultation（聽診），如選項 C。例外：**腹部評估**順序為「IAPP」（視 → 聽 → 叩 → 觸），因為觸診與叩診會改變腸音，故先聽診（如選項 B，但僅適用於腹部）。本題未限定評估部位，故依一般身體評估標準選 C。
The standard sequence for a general physical assessment is "IPPA": inspection, palpation, percussion, and then auscultation—as in option C. The exception is the abdominal assessment, whose sequence is "IAPP" (inspection → auscultation → percussion → palpation), because percussion and palpation can alter bowel sounds, so auscultation is performed first (as in option B; applicable only to the abdomen). This item does not restrict the area being assessed, so option C, the general physical assessment standard, is selected.
此順序為全世界護理學通用的標準評估程序。