由於社區發生嚴重災難，內外科病房必須緊急清空病床。下列哪位病人展現出最適合立即快速出院的安全特徵？
Due to a severe community disaster, a medical-surgical unit must urgently discharge clients. Which active client demonstrates the safest profile for immediate rapid discharge?
- AA client with heart failure requiring continuous IV furosemide.需要持續靜脈注射 furosemide 的心衰竭病人
- BA client with active DVT requiring continuous IV heparin.需要持續靜脈注射 heparin 的活動性深部靜脈栓塞 (DVT) 病人
- CA client with unstable angina awaiting an angiogram.等待血管攝影的不穩定型心絞痛病人
- DA client 2 days post-op taking oral pain medications and engaging in physical therapy.✓ 正解術後兩天、服用口服止痛藥並參與物理治療的病人
本題考驗護理師在災難情境下，對病患進行優先順序評估 (triage) 和資源管理的能力。當醫院需緊急清空病床時，最優先考慮的是病患的穩定性、對醫療資源的依賴程度以及出院後自我照顧的能力。目標是讓那些病情最穩定、不需要複雜照護，且具備自我照護能力或有足夠家庭支持的病患優先出院，以便騰出資源給病情更危急或需要持續住院治療的災難受害者。臨床思路應著重於病患當前的生理穩定性與未來潛在風險，確保出院決策的安全。
In a disaster situation requiring urgent discharges, the nurse should prioritize clients who are medically stable and require minimal ongoing interventions. A client who is two days post-operative, taking oral medications, and participating in physical therapy demonstrates sufficient stability for rapid discharge. This frees up critical resources for patients with acute, life-threatening conditions such as those requiring continuous IV therapies or unstable cardiac status.
口服藥出院優先。