— 基本照護與舒適 · EASY · MCQ —
一位病人術後感到劇烈疼痛，護理師在評估疼痛時應優先採取什麼行動？
A client is experiencing severe pain post-surgery. Which action should the nurse take first when assessing the pain?
- AAsk the client to describe the location and quality of pain✓ 正解詢問個案描述疼痛的部位和性質
- BDocument the pain level in the chart在病歷中記錄疼痛程度
- CCheck the vital signs檢查生命徵象
- DAdminister pain medication immediately立即給予止痛藥物
— Explanation · 中文詳解 —
疼痛評估遵循護理程序（Nursing Process）的『評估（Assessment）』階段，這是所有護理介入的基石。疼痛是主觀感受，必須透過病人的口述來量化與質化。在決定給藥或進行其他處置前，護理師必須先獲取疼痛的位置、性質、嚴重程度及加重/緩解因子（PQRST 指標），以建立基線資料，並作為評估介入成效的依據。若未經評估直接給藥，則無法判斷藥物是否對症或劑量是否適切。
The nurse should first ask the client to describe the location and quality of the pain because pain is subjective and the client's self-report is the gold standard for assessment. Obtaining this detailed information establishes a baseline necessary for selecting appropriate interventions and evaluating their effectiveness.