護理師交班後，下列哪些病人應優先評估？（選所有適合的）
A nurse is caring for multiple clients. Which client should the nurse assess first after receiving the change-of-shift report? (Select all that apply.)
- AA client with a new onset of sudden dyspnea and confusion✓ 正解新發急性呼吸困難和意識混亂的病人
- BA client reporting 6/10 pain after an appendectomy 2 hours ago兩小時前接受闌尾切除術後報告疼痛程度為 6/10 的病人
- CA client with a hemoglobin level of 7.2 g/dL and tachycardia✓ 正解血色素水平為 7.2 g/dL 且伴隨心搏過速的病人
- DA client requesting assistance to the bathroom請求協助前往洗手間的病人
- EA client scheduled for discharge in 2 hours兩小時後安排出院的病人
根據 ABC 原則（呼吸、循環），選項 A 的呼吸窘迫與神智混亂代表缺氧，為危急症狀；選項 C 的低血紅素伴隨心跳過速，暗示可能存在急性出血或失代償性貧血，兩者皆需立即評估。B 為術後預期狀況，D 與 E 可排在後續。
According to the ABC (Airway, Breathing, Circulation) prioritization framework, the client with sudden dyspnea and confusion requires immediate assessment due to potential hypoxia and airway compromise. Similarly, the client with low hemoglobin and tachycardia shows signs of hemodynamic instability, likely from acute blood loss. These conditions take precedence over expected postoperative pain, routine assistance needs, or stable discharge planning.
兩地均遵循相同的優先級 triage 邏輯（Airway, Breathing, Circulation）。