— 照護管理 · HARD · SATA —
護理師需處理四位病人的照護需求。下列哪些任務應優先執行?(選所有適合的)
A nurse is prioritizing care for four clients. Which tasks should the nurse perform first? (Select all that apply.)
- AAdministering IV morphine to a patient with 9/10 pain給予疼痛指數 9/10 的病人靜脈注射嗎啡
- BAddressing a patient reporting chest pain✓ 正解處理主訴胸痛的病人
- CSetting up a patient's room for a new admission為新入院病人準備病房
- DSuctioning a patient with a tracheostomy who has low SpO2✓ 正解為血氧飽和度低的氣切病人進行抽痰
- ECompleting the shift assessment for a stable patient完成對穩定病人的交接班評估
— Explanation · 中文詳解 —
依據 ABC(Airway, Breathing, Circulation)與安全性優先原則,護理師必須優先處理威脅生命或呼吸道的緊急情況。胸痛(Chest pain)可能暗示心肌梗塞,氣切(Tracheostomy)病人 SpO2 下降代表呼吸道可能受阻或分泌物堆積,這兩者皆為急性醫療需求,必須優先處置。
Prioritization follows the ABCs (Airway, Breathing, Circulation) and safety principles. Suctioning a client with a tracheostomy and low oxygen saturation addresses an immediate airway obstruction, while assessing chest pain is critical for potential cardiac ischemia. These life-threatening conditions take precedence over pain management or routine tasks.