護理師照顧一位中風病人，下列哪項為優先介入措施？
A nurse is caring for a patient who is experiencing a stroke. Which of the following is the priority intervention?
- AScheduling a physical therapy appointment安排物理治療門診
- BChecking the patient's blood pressure every 4 hours每 4 小時測量病患血壓
- CAdministering a stool softener給予軟便劑
- DMaintaining a patent airway and monitoring breathing✓ 正解維持呼吸道暢通並監測呼吸
中風（Stroke）病人的緊急照護需遵循「ABC」原則（Airway, Breathing, Circulation）。急性期最嚴重的風險是意識改變導致的呼吸道阻塞或吸入性肺炎。因此，維持呼吸道暢通（Maintaining patent airway）是絕對的優先介入，確保腦部足夠的氧氣供應，以防止二度腦損傷。其他措施皆屬後續治療或預防併發症。
Emergency care of a client with stroke follows the ABC principle (Airway, Breathing, Circulation). In the acute phase, the most serious risk is airway obstruction or aspiration pneumonia caused by altered consciousness. Therefore, maintaining a patent airway is the absolute priority intervention, ensuring adequate oxygen delivery to the brain and preventing secondary brain injury. The other measures all represent subsequent treatment or prevention of complications.