— 照護管理 · HARD · MCQ —
護理師在繁忙的腫瘤病房內，應優先評估哪一位病人？
Which of the following clients should the nurse assess first in a busy oncology unit?
- AA client experiencing nausea after the last dose of antiemetics最後一次給藥止吐劑後出現噁心的病人
- BA client with a fever of 100.8°F receiving chemotherapy接受化學治療且發燒100.8°F的病人
- CA client complaining of sudden shortness of breath and chest pain✓ 正解抱怨突發性呼吸困難和胸痛的病人
- DA client with a new onset of mild fatigue新出現輕度疲倦的病人
— Explanation · 中文詳解 —
在忙碌的腫瘤病房中，護理師必須根據病人狀況的嚴重性進行優先級排序。ABC原則（Airway, Breathing, Circulation）是最高指標。突發性呼吸困難與胸痛在腫瘤病人身上高度懷疑為肺栓塞（PE）或心肌梗塞，這類併發症會在數分鐘內致命，必須最優先評估與處理。相比之下，發燒或噁心雖然重要，但不如急性呼吸窘迫危及生命。
Vegans must supplement with Vitamin B12 because it is naturally found only in animal products. Deficiency can lead to megaloblastic anemia and irreversible neurological damage, making supplementation essential for maintaining nutritional adequacy.