交班後，護理長應優先查看哪位病人？
Which of the following clients should the charge nurse see first after receiving the change-of-shift report?
- AA client with type 2 diabetes who has a fasting blood glucose of 140 mg/dL空腹血糖 140 mg/dL 的第二型糖尿病個案
- BA client admitted 4 hours ago for acute asthma who is now reporting increased anxiety and absent breath sounds✓ 正解四小時前因急性哮喘入院，目前主訴焦慮增加且呼吸音消失的個案
- CA client recovering from hip surgery who is requesting pain medication for 6/10 pain髖關節手術後恢復中，主訴 6/10 疼痛要求止痛藥的個案
- DA client with a chest tube who has a small amount of bubbling in the water seal chamber水封瓶有少量冒泡的胸管個案
優先查看病人時，必須應用 ABC（氣道、呼吸、循環）原則與「瀕臨危險（Life-threatening）」評估。氣喘病人出現焦慮（缺氧指標）且呼吸音消失（Silent chest），代表氣道嚴重阻塞，氣流進入極少，瀕臨呼吸衰竭，這是極度緊急的狀況，必須優先介入。其他病人狀況雖然需要處理，但相對穩定。
When prioritizing which patient to see first, the nurse must apply the ABC (Airway, Breathing, Circulation) principle and assess for life-threatening conditions. An asthmatic patient who exhibits anxiety (a sign of hypoxia) and has absent breath sounds (silent chest) shows severe airway obstruction with minimal airflow, indicating impending respiratory failure — an extremely urgent situation requiring priority intervention. The other patients' conditions, while requiring attention, are relatively stable.