責任護理師應優先評估下列哪位病人？
Which of the following clients should the charge nurse see first?
- AA client awaiting discharge instructions for home care等待居家照護出院衛教的病人
- BA client with a scheduled dressing change for a chronic ulcer慢性潰瘍scheduled換藥的病人
- CA client 2 days post-op requesting pain medication術後兩天要求止痛藥的病人
- DA client with a new onset of sudden dyspnea and tachycardia✓ 正解新發突發性呼吸困難與心跳過速的病人
護理評估優先序應遵循 ABC（Airway, Breathing, Circulation）原則。選項 D 的病人出現「新發生的呼吸困難與心跳過速」，這可能是肺栓塞（PE）或急性心衰竭等具生命威脅的急症，必須立即評估。其他選項中，疼痛管理、出院衛教與常規傷口換藥皆屬非緊急的護理事項，可以安排在處理完緊急病人後再執行。責任護理師應優先處理最具生命威脅的個案。
Nursing assessment priorities should follow the ABC (Airway, Breathing, Circulation) principle. The client in option D has new-onset dyspnea with tachycardia, which may indicate a life-threatening emergency such as pulmonary embolism (PE) or acute heart failure and must be assessed immediately. Among the other options, pain management, discharge teaching, and routine wound dressing changes are all non-urgent nursing activities and can be addressed after the critical client has been managed. The charge nurse should prioritize the client with the greatest threat to life.