護理師正在安排病人照護優先順序，應優先看視哪位病人？
The nurse is prioritizing care for assigned clients. Which client should be seen first?
- AA client with diabetes who is shaky, diaphoretic, and has a blood glucose of 45 mg/dL✓ 正解一位糖尿病患者，出現手抖、盜汗，血糖為 45 mg/dL
- BA client with a pulmonary embolism receiving heparin who has an aPTT of 70 seconds一位接受肝素治療之肺栓塞患者，aPTT 為 70 秒
- CA client with a potassium level of 5.8 mEq/L who is waiting for dialysis一位血鉀濃度為 5.8 mEq/L，正等待洗腎的患者
- DA client with a pneumothorax who has 100 mL of bright red drainage in the chest tube after 2 hours一位氣胸患者，置管後 2 小時內胸腔引流管有 100 mL 鮮紅色引流液
低血糖（血糖 45 mg/dL）是立即的生命威脅，可能導致大腦永久損傷或死亡，必須優先處理。A（aPTT 70 秒）在肝素治療的目標範圍內；B（胸管 2 小時 100 mL）雖需注意但相對低血糖較不急迫；C（高血鉀 5.8）雖危險但已知並正等待透析。根據「急迫性」與「潛在危害」，低血糖勝過其他選項。
Hypoglycemia (blood glucose 45 mg/dL) is an immediate life threat that can cause permanent brain injury or death and must be addressed first. Option B (aPTT 70 seconds) is within the therapeutic range for heparin therapy; option D (100 mL via chest tube over 2 hours) warrants monitoring but is less urgent than hypoglycemia; option C (potassium 5.8) is dangerous but is already known and is awaiting dialysis. Based on urgency and potential harm, hypoglycemia outweighs the other options.
美國 NCLEX 考試極度重視血糖急症的優先權；台灣臨床上高血鉀（C）常被視為極高度警訊，但在單選題中低血糖通常更具急迫性。