— 照護管理 · MEDIUM · MCQ —
護理師準備照護一群病人，哪位病人應優先處理？
A nurse is preparing to care for a group of clients. Which client should the nurse see first?
- AA client with a pressure ulcer requiring a dressing change患有壓瘡且需要更換敷料的病人
- BA client with a history of COPD reporting increased shortness of breath✓ 正解有慢性阻塞性肺病病史且主訴呼吸困難加重的病人
- CA client with a new cast on the leg reporting itching腿部有新打石膏且主訴搔癢的病人
- DA client scheduled for discharge needing medication instructions預定出院且需要藥物衛教的病人
— Explanation · 中文詳解 —
根據 ABC 原則（氣道、呼吸、循環），呼吸系統的問題通常優先於舒適度、衛生或行政事務。呼吸困難者有呼吸衰竭的風險，必須立即介入。石膏癢、換藥與出院指導均為重要護理任務，但在危及生命的呼吸問題面前，屬於次要優先權。
According to the ABC (Airway, Breathing, Circulation) framework, respiratory distress in a client with COPD is the highest priority due to the risk of respiratory failure. Other needs, such as wound care or discharge education, are important but less urgent than compromising breathing.
✦ 台美臨床差異
台美護理師皆採用 ABCs 作為臨床優先順序的判定依據。