嚴重燒傷病人處於燒傷急診期。護理師應優先進行哪些評估？（選所有適合的）
A client with severe burns is in the emergent phase of burn care. Which nursing assessments are priority? (Select all that apply.)
- APresence of smoke inhalation symptoms✓ 正解存在吸入性煙霧症狀
- BUrine output per hour✓ 正解每小時尿量
- CWound infection signs傷口感染跡象
- DSerum potassium levels✓ 正解血清鉀離子濃度
- EPeripheral pulses distal to the burn✓ 正解燒傷遠端之周邊脈搏
燒傷早期（48-72小時）重點為 ABC 與體液流失。呼吸道受損（煙霧吸入）為首要致命危險；尿量監測用於評估液體復甦效果；燒傷組織釋放鉀離子易引起高血鉀；環狀焦痂可能壓迫血管需檢查末梢循環。感染徵象通常在急性期後出現，非優先。
The early phase of burn injury (first 48-72 hours) focuses on the ABCs and fluid loss. Airway compromise from smoke inhalation is the leading early threat to life; hourly urine output is monitored to assess the adequacy of fluid resuscitation; burned tissue releases potassium, predisposing the patient to hyperkalemia; and circumferential eschar may compress vessels, requiring assessment of distal circulation. Signs of infection typically develop after the emergent phase and are therefore not the priority.
美國護理單位對燒傷病人的補液計算與尿量要求非常嚴格；台灣臨床上常依賴中心靜脈壓與醫師直接監測。