— 照護管理 · MEDIUM · MCQ —
護理師在急診進行檢傷分類，哪位病人應優先處理？
A nurse is conducting a triage assessment in the Emergency Department. Which client should be seen first?
- AA client with symptoms of a mild upper respiratory infection有輕微上呼吸道感染症狀的病人
- BA client with an asthma attack and audible wheezing✓ 正解氣喘發作且可聞及哮鳴音的病人
- CA client with a closed forearm fracture complaining of pain前臂閉合性骨折並主訴疼痛的病人
- DA client with a superficial laceration requiring sutures需要縫合的表面撕裂傷病人
— Explanation · 中文詳解 —
急診檢傷分類（Triage）優先順序依據病人病情的嚴重程度與生命威脅性。氣喘發作（Asthma attack）伴隨喘鳴聲（Wheezing），顯示呼吸道阻塞，有呼吸衰竭風險，屬於緊急狀況，必須優先介入，而骨折與輕微撕裂傷相較之下較為穩定。
An asthma attack with audible wheezing indicates potential airway obstruction and respiratory compromise, making it the highest priority for immediate intervention. In emergency triage, conditions threatening the airway, breathing, or circulation take precedence over stable fractures or minor lacerations.
✦ 台美臨床差異
美台急診檢傷系統（如急診五級分類）架構大同小異，皆強調呼吸與循環穩定度作為決策基礎。