— 照護管理 · MEDIUM · MCQ —
護理師安排護理順序,哪位病人應最後被評估?
A nurse is prioritizing patient care. Which client should be seen last?
- AA client requiring a routine discharge summary✓ 正解需要常規出院摘要的病患
- BA client with an unstable airway呼吸道不穩定的病患
- CA client experiencing cardiac arrest經歷心臟驟停的病患
- DA client with severe internal hemorrhage嚴重內出血的病患
— Explanation · 中文詳解 —
護理優先順序應依據 ABC 原則。呼吸道不穩定、心跳停止與大出血均為直接危及生命的急症,必須第一時間處理。常規的出院摘要(Discharge summary)屬於行政護理任務,不影響病人生理穩定,應安排在所有急重症處理完畢後再執行。
Nursing priorities should follow the ABC principle. An unstable airway, cardiac arrest, and major hemorrhage are all life-threatening emergencies that must be addressed immediately. Routine documentation such as a discharge summary is an administrative nursing task that does not affect the patient's physiological stability and should be performed only after all acute and critical situations have been managed.
✦ 台美臨床差異
兩地皆遵循相同急重症護理優先原則,以生命跡象穩定度為首要考量。