— 照護管理 · MEDIUM · MCQ —
在優先排序照護對象時，護理師應優先評估哪一位病人？
When prioritizing care for a group of clients, which client should the nurse see first?
- AA client requesting pain medication要求止痛藥物的病人
- BA client reporting sudden difficulty breathing✓ 正解報告突然呼吸困難的病人
- CA client waiting for discharge paperwork等待出院文件的病人
- DA client with a scheduled dressing change預約換藥的病人
— Explanation · 中文詳解 —
護理優先順序評估原則以 ABC (Airway, Breathing, Circulation) 為首。呼吸困難可能危及氣道安全，屬於最緊急狀況，必須立即介入。疼痛處理雖重要，但需置於生命徵象穩定的基礎上，而換藥與出院則屬常規任務，可延後處理。
The nurse should see the client reporting sudden difficulty breathing first because airway and breathing issues take priority in the ABC framework. This client requires immediate assessment and intervention to prevent respiratory failure, whereas pain, discharge, and routine dressing changes are less urgent.
✦ 台美臨床差異
兩地皆遵循 ABC 原則，但台灣護理師因病人負荷量較大，有時會混淆優先順序，需特別強調臨床判斷。