— 照護管理 · MEDIUM · MCQ —
當班期間，護理師應優先評估下列哪位病人？
Which of the following clients should the nurse prioritize during the shift?
- AA client who just returned from surgery with a saturated dressing✓ 正解剛結束手術且敷料滲透的病人
- BA client waiting for discharge orders等待出院醫囑的病人
- CA client complaining of 3/10 pain主訴疼痛程度為 3/10 的病人
- DA client requesting assistance with a bedpan請求協助使用便盆的病人
— Explanation · 中文詳解 —
護理優先順序的原則是「生命危急度（Life-threatening）」。剛術後回來的病人若敷料滲血（Saturated dressing），暗示可能有活動性出血或止血不全，這會直接威脅血流動力學穩定，導致低血容量休克。因此，此病人必須優先評估（評估出血量、生命徵象、傷口狀況）並採取止血措施。其他選項均屬於穩定或非立即危急的照護需求。
A saturated dressing on a postoperative client indicates active bleeding, which poses an immediate threat to hemodynamic stability. This priority finding requires rapid assessment and intervention to prevent hemorrhagic shock.