— 照護管理 · HARD · SATA —
護理師在忙碌的病房中，下列哪些任務應優先執行？（選所有適合的）
A nurse is managing a busy unit and has multiple tasks to complete. Which of the following tasks should be performed first? (Select all that apply.)
- AAdministering pain medication for a patient reporting 8/10 pain為主訴疼痛 8/10 的病人給予止痛藥物
- BUpdating the white board in a stable patient's room更新穩定病人房間內的白板
- CAssessing a patient who just returned from surgery with a saturated dressing✓ 正解評估剛返回病房且敷料滲透的手術病人
- DResponding to a patient complaining of shortness of breath✓ 正解回應主訴呼吸困難的病人
- EDocumenting routine vital signs for a stable postoperative patient記錄穩定術後病人的常規生命徵象
— Explanation · 中文詳解 —
護理工作優先順序應遵循 ABC（Airway, Breathing, Circulation）原則。呼吸困難（D）威脅氣道通暢；術後滲血（C）暗示循環失血風險，兩者均屬急迫致命風險，需優先處理。疼痛管理（A）重要但非立即致命，白板更新（B）與常規記錄（E）則屬於護理行政與紀錄工作，應在完成高風險病人的緊急護理後再處理。
Prioritization follows the ABC (Airway, Breathing, Circulation) framework, making shortness of breath and postoperative bleeding the highest priorities due to potential threats to oxygenation and hemodynamic stability. Pain management and routine documentation are important but do not pose immediate life-threatening risks compared to compromised airway or circulation.