— 生理適應 · HARD · MCQ —
一位胸腹部燒燙傷的病人抵達急診，護理師應執行哪項優先評估？
A client with burns on the chest and abdomen arrives at the emergency department. Which priority assessment should the nurse perform?
- AAdminister pain medication給予止痛藥物
- BMeasure blood pressure and pulse測量血壓和脈搏
- CCheck for airway patency✓ 正解檢查氣道是否暢通
- DAssess the depth and percentage of burns評估燒傷的深度和百分比
— Explanation · 中文詳解 —
燒燙傷病人抵達急診時，護理評估必須嚴格遵循 ABC（Airway, Breathing, Circulation）原則。胸腹部燒傷病人，尤其是合併臉部或頸部受傷時，極可能發生吸入性損傷（Inhalation injury），導致氣道腫脹與阻塞。氣道通暢（Airway patency）是維持生命的最優先項目，若氣道阻塞，後續的補液與藥物治療皆無法挽救病人生命。
According to the ABCs of trauma care, checking for airway patency is the highest priority because inhalation injuries can cause rapid airway swelling and obstruction. While pain management, circulation assessment, and burn evaluation are important, they follow securing the airway to prevent immediate life-threatening complications.