— 照護管理 · HARD · MCQ —
護理師在工作量大的單位，哪種病人的需求應視為最高優先？
A nurse is working in a unit with a heavy workload. Which client needs should be considered the highest priority?
- AA client experiencing respiratory distress✓ 正解正經歷呼吸窘迫的病人
- BA client whose dressing needs to be changed需要更換敷料的病人
- CA stable client requiring pain medication需要止痛藥物的穩定病人
- DA client requiring discharge teaching需要出院衛教的病人
— Explanation · 中文詳解 —
在工作量大的環境下，護理師必須依據「急迫性（Urgency）」進行優先級排序。ABCs（Airway, Breathing, Circulation）原則是判斷標準。呼吸窘迫（Respiratory Distress）直接威脅病人的生命與氧合，若不立即處理，將導致呼吸衰竭甚至心跳停止，因此必須作為最高優先級。
In a high-workload environment, the nurse must prioritize based on urgency. The ABCs (Airway, Breathing, Circulation) framework provides the standard of judgment. Respiratory distress directly threatens the client's life and oxygenation; if left unaddressed, it leads to respiratory failure and even cardiac arrest, and therefore must be assigned the highest priority.