— 照護管理 · HARD · MCQ —
護理師照顧多位病人。哪位病人應優先照護？
A nurse is caring for multiple clients. Which client needs to be seen first?
- AA client with a wound dressing change due需更換傷口敷料之病患
- BA client waiting for discharge paperwork等待出院文件之病患
- CA client with a new onset of chest pain✓ 正解新發作胸痛之病患
- DA client requesting pain medication for chronic back pain要求慢性背痛止痛藥之病患
— Explanation · 中文詳解 —
根據 ABC（呼吸、循環、氣道）原則，胸痛是心肌梗塞或其他心血管事件的警訊，具備最高優先級，可能危及生命。其他選項分別屬於慢性疼痛、護理常規與行政程序，病況穩定，相較之下胸痛必須立即處理以防止發生心臟驟停。
According to the ABC (Airway, Breathing, Circulation) prioritization framework, new-onset chest pain is a potential sign of myocardial infarction or other life-threatening cardiovascular events, requiring immediate assessment. Unlike stable routine tasks such as dressing changes, discharge paperwork, or management of chronic pain, acute chest pain poses an immediate risk to the client's life.
✦ 台美臨床差異
美國護理師常依 Triage 邏輯進行優先順序排程；台灣因人力不足，常需同時處理多項臨床需求，精準排序更顯重要。