— 照護管理 · HARD · MCQ —
護理師在災難現場執行檢傷分類。哪位病人應被貼上黑色標籤（預期死亡）？
A nurse is managing a disaster situation. Which client should the nurse tag with a black tag (expectant) during triage?
- AA client with an open comminuted femur fracture一位患有開放性粉碎性股骨骨折的病人
- BA client with a tension pneumothorax一位患有張力性氣胸的病人
- CA client with minor lacerations and stable vital signs一位有輕微撕裂傷且生命徵象穩定的病人
- DA client with extensive full-thickness burns over 95% of the body✓ 正解一位身體表面積95%遭受廣泛全層燒傷的病人
— Explanation · 中文詳解 —
災難檢傷分類（Triage）的原則是「為最多數人爭取最大利益」。黑色標籤（Expectant）是指即便給予所有醫療資源，病人的存活機率依然極低。95% 的全層燒傷病人因大面積組織壞死、體液流失與感染風險，在資源有限的災難現場，醫療介入通常無效，故歸類為期待性死亡，護理資源應優先分配給存活率高的傷患。
A black tag (expectant) is assigned to clients with injuries so severe that survival is unlikely even with maximal resources, such as extensive full-thickness burns over 95% of the body. In disaster triage, this classification ensures that limited medical resources are prioritized for clients with higher survival probabilities.