— 基本照護與舒適 · EASY · MCQ —
護理師準備協助病人進行全身床上擦澡，第一步應採取什麼行動？
A nurse is preparing to assist a client with a full bed bath. Which action should the nurse take first?
- ACheck the temperature of the water檢查水溫
- BVerify the client's identity✓ 正解核對病人身分
- CGather all necessary supplies準備所有必要用品
- DClose the privacy curtain拉上隱私簾
— Explanation · 中文詳解 —
在執行任何護理程序前，確保「病人正確（Right Patient）」是安全照護的基石。根據病人安全目標（National Patient Safety Goals），護理師必須使用至少兩種辨識方法（如姓名、出生日期、病歷號碼），核對病人身分標籤（ID band），以避免給錯藥、做錯檢查或執行錯誤程序。其他選項如備物或測試水溫，皆必須在確認病人正確後才執行。
Obtaining an electrocardiogram (ECG) within 10 minutes of arrival is the highest priority to confirm or rule out a myocardial infarction and guide immediate treatment decisions. While administering aspirin and establishing IV access are critical steps, they depend on the diagnostic information provided by the ECG to determine the specific type of cardiac event and subsequent care pathway.