— 照護管理 · EASY · MCQ —
護理師交班後，哪位病人應優先前往探視？
A nurse receives a change-of-shift report. Which client should the nurse visit first?
- AClient who just returned from surgery with a stable dressing剛從手術回來且敷料穩定的病人
- BClient needing help with lunch需要協助吃午餐的病人
- CClient requesting pain medication要求止痛藥的病人
- DClient experiencing respiratory distress✓ 正解出現呼吸窘迫的病人
— Explanation · 中文詳解 —
根據優先順序評估原則（Triage/Prioritization），呼吸窘迫（Respiratory distress）直接威脅呼吸道與呼吸功能（ABC原則），屬於生命危險且需立即介入的病症。術後穩定、疼痛需求及進食協助均非首要急症。
According to the principles of triage and prioritization, respiratory distress directly threatens airway and breathing (the ABC principle), making it a life-threatening condition that requires immediate intervention. Postoperative stability, pain requests, and assistance with meals are not the most urgent priorities.
✦ 台美臨床差異
美台在急重症優先序的判斷邏輯一致，皆以「致命性」作為第一篩選標準。