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照護管理 · HARD · MCQ

下列哪位病人應優先處理?

Which of the following clients should the nurse see first?

  • AA client requesting a refill of their water pitcher
    要求補充水瓶的病人
  • BA client reporting sudden onset of shortness of breath✓ 正解
    主訴突然出現呼吸困難的病人
  • CA client with an itchy rash on their arm
    手臂上有癢疹的病人
  • DA client complaining of a dull headache
    抱怨鈍痛的病人
Explanation · 中文詳解

在管理護理工作中,判斷優先順序(Prioritization)必須依據 ABC 原則(Airway, Breathing, Circulation)。急性呼吸困難(Shortness of breath)直接威脅呼吸功能,若未及時處理可能迅速惡化為呼吸衰竭,因此必須被列為最高優先級,立即進行評估與介入。

In managing nursing work, prioritization must be based on the ABC principle (Airway, Breathing, Circulation). Acute shortness of breath directly threatens respiratory function; if not addressed promptly, it can rapidly progress to respiratory failure, and must therefore be designated the highest priority for immediate assessment and intervention.

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