— 照護管理 · HARD · MCQ —
哪項評估結果需要立即通知醫療服務提供者（醫師）？
Which assessment finding requires immediate notification of the healthcare provider?
- AOxygen saturation of 96% on room air在室溫空氣下血氧飽和度為 96%
- BBlood pressure reading of 180/110 mmHg in an asymptomatic client✓ 正解無症狀病人的血壓讀數為 180/110 mmHg
- CUrine output of 40 mL over the last hour過去一小時的尿液輸出量為 40 mL
- DHeart rate of 78 bpm心率為 78 bpm
— Explanation · 中文詳解 —
臨床優先順序（Priority）需考量 ABC（呼吸道、呼吸、循環）原則及潛在的器官損害風險。高血壓急症（Hypertensive Emergency）定義為收縮壓 >180 或舒張壓 >120 mmHg，即便病人無症狀，此數值也隱含器官損傷（如腦卒中、心肌梗塞）的風險，需立即通知醫師進行醫療評估。
Clinical prioritization must consider the ABCs (airway, breathing, circulation) and the risk of potential organ damage. A hypertensive emergency is defined as a systolic blood pressure >180 or a diastolic blood pressure >120 mmHg; even if the client is asymptomatic, this value implies a risk of organ damage (such as stroke or myocardial infarction) and warrants immediate notification of the provider for medical evaluation.