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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.

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