— 照護管理 · MEDIUM · MCQ —
護理師照護一位發燒 103°F (39.4°C) 並有感染跡象的病人，應優先採取哪項措施？
A nurse is caring for a client with a fever of 103°F (39.4°C) and signs of infection. Which action should the nurse take first?
- AAdminister antipyretics as prescribed依醫囑給予解熱劑
- BNotify the healthcare provider✓ 正解通知醫療提供者
- CObtain blood cultures抽取血液培養
- DIncrease fluid intake增加液體攝取
— Explanation · 中文詳解 —
面對高燒（103°F/39.4°C）且伴隨感染跡象的病人，護理師的首要責任是啟動醫療評估流程。在臨床情境中，優先級（Priority）遵循 ABC 原則（呼吸、循環）及實證醫學路徑。通知醫療提供者（Healthcare Provider, HCP）是為了讓醫師評估是否需要進一步影像檢查、抗生素治療或調整輸液策略。雖然退燒藥、抽血培養和補水都很重要，但若未經醫師評估直接處理，可能延誤針對感染源的關鍵診斷。
The nurse should notify the healthcare provider first to initiate timely diagnostic evaluation and treatment for the underlying infection. While administering antipyretics, obtaining cultures, and increasing fluids are important supportive measures, they do not replace the immediate need for medical assessment and prescription of targeted therapy.