下列哪位病人護理師應優先評估？
Which client should the nurse prioritize to visit first?
- AClient with a low-grade fever following a blood transfusion輸血後有低燒的病人
- BClient with a stable wound infection receiving IV antibiotics接受靜脈注射抗生素治療之穩定傷口感染病人
- CClient requesting pain medication for surgical site discomfort因手術部位不適而請求止痛藥的病人
- DClient post-op who has been complaining of sudden dyspnea✓ 正解主訴突發性呼吸困難的術後病人
依照 ABC（呼吸道、呼吸、循環）評估順序，呼吸窘迫（dyspnea）代表潛在的嚴重缺氧或肺栓塞，威脅生命穩定性，應優先處理。A 為穩定感染；C 的輕微發燒需密切觀察但非立即致命；D 的疼痛管理雖重要，但次於急性呼吸問題。護理師需評估呼吸困難的病因並準備給氧或呼叫支援。
Following the ABC (airway, breathing, circulation) order of assessment, dyspnea may signal severe hypoxia or pulmonary embolism, threatening life stability, and must be addressed first. Option B involves a stable infection; option A, a mild fever, requires close observation but is not immediately life-threatening; and option C, pain management, is important but secondary to acute respiratory issues. The nurse must assess the cause of the dyspnea and prepare to provide oxygen or call for support.
美台護理臨床決策均強調優先順序，但台灣護理師常需在繁重工作負荷下，透過護理評估（Nursing Assessment）迅速篩選病患。