— 照護管理 · MEDIUM · MCQ —
護理師聽到病房內警報器響起，首要採取什麼行動？
A nurse hears an alarm in a client's room. What is the nurse's priority action?
- ACall for a technician to check the equipment呼叫技術員檢查設備
- BImmediately go to the client's room to assess them✓ 正解立即前往病人房間評估其狀況
- CCheck the monitor at the central station first先在中央站查看監測器
- DWait to see if the alarm silences itself等待警報自行靜音
— Explanation · 中文詳解 —
在臨床護理中，警報器響起時，評估的優先順序永遠是「病人先於器材」。警報器可能因儀器故障、導線鬆脫或誤觸而響起，但若病人發生生理變化（如心律不整、呼吸停止），則必須立即介入。護理師應直接進入病房評估生命徵象與生理狀態，這是確保病人安全（Safety）與生命維持的關鍵步驟。NCLEX 考試中，遇到任何監測儀器警報，除非題幹明確指出護理師已在床邊或病人狀況已知，否則首要行動皆為直接評估病人。
The nurse's priority is to immediately assess the client directly, as alarms may indicate critical physiological changes rather than just equipment malfunction, ensuring patient safety takes precedence over checking monitors or calling for assistance.