— 安全與感染控制 · MEDIUM · MCQ —
下列哪項檢驗結果，護理師應立即報告醫師？
Which lab finding should the nurse report immediately to the physician?
- APlatelet count of 200,000/mm³血小板計數 200,000/mm³
- BWhite blood cell count of 25,000/mm³✓ 正解白血球計數 25,000/mm³
- CHemoglobin of 12 g/dL血紅素 12 g/dL
- DPotassium level of 3.8 mEq/L鉀離子濃度 3.8 mEq/L
— Explanation · 中文詳解 —
WBC 25,000/mm³ 屬於嚴重的白血球增多（Leukocytosis），這通常顯示體內有急性嚴重感染或炎症。相較於正常範圍（約 4,000-11,000/mm³），此數值異常顯著，需醫師立即評估以找出感染源並調整治療策略。護理師應警覺此項檢驗結果，並及時執行相關的臨床評估，如監測發燒、傷口情況等。
A WBC count of 25,000/mm³ represents severe leukocytosis, which usually indicates an acute, severe infection or inflammation. Compared with the normal range (approximately 4,000-11,000/mm³), this value is markedly abnormal and requires immediate provider evaluation to identify the source of infection and adjust treatment. The nurse should be alert to this laboratory finding and promptly conduct related clinical assessments, such as monitoring for fever and assessing wound status.