— 照護管理 · EASY · MCQ —
護理師接到四位病人的照護指派。哪一位病人應優先照護？
A nurse receives an assignment with four clients. Which client should be seen first?
- AA client requiring discharge education需要出院衛教的病人
- BA client requesting a refill of their water pitcher要求補充水壺水的病人
- CA client complaining of chest pain✓ 正解抱怨胸痛的病人
- DA client with a scheduled dressing change預約換藥的病人
— Explanation · 中文詳解 —
優先級排序應考慮 ABC（呼吸、循環、氣道）以及穩定度。胸痛（Chest pain）極可能是心肌梗塞，屬於循環系統的急症，危及生命，必須列為最優先。換藥、衛教與補水均為非立即危及生命的護理措施，可在胸痛處理與穩定後執行。
Prioritization follows the ABC (Airway, Breathing, Circulation) framework, where chest pain indicates a potential cardiac emergency affecting circulation and is life-threatening. Discharge education, water refills, and scheduled dressing changes are non-urgent tasks that can be addressed after stabilizing the client with chest pain.
✦ 台美臨床差異
台美護理師在處理胸痛的程序上皆為第一優先，差別在於美國護理師常直接啟動心臟急救流程，台灣護理師則需同步呼叫醫師。