— 基本照護與舒適 · MEDIUM · MCQ —
病人臥床時抱怨疼痛。護理師的優先處置為何？
A client is in the bed and complains of pain. What is the nurse's priority?
- AChange the patient's position immediately立即改變病人姿勢
- BAssess the pain level and character✓ 正解評估疼痛程度及性質
- CTell the patient to try to sleep告訴病人試著睡覺
- DImmediately provide the requested pain medication立即提供病人要求的止痛藥物
— Explanation · 中文詳解 —
護理程序第一步為「評估」。在給藥或介入前，必須先釐清疼痛的性質與等級（B），以決定護理處置的方向。直接給藥（D）可能掩蓋嚴重問題（如內出血或急性腹症）；忽略疼痛（C）是不專業的；變換姿勢（A）雖可緩解壓迫，但在未評估前不可貿然執行，以免造成受傷。
Assessment is the first step in the nursing process; therefore, evaluating the pain level and character is the priority before intervening. Providing medication or changing position without assessment may mask serious underlying conditions or cause harm, while ignoring the complaint is negligent.
✦ 台美臨床差異
無差異，所有護理介入皆需先進行臨床評估。