— 照護管理 · MEDIUM · MCQ —
在優先排序時,哪位病人屬於「高敏銳度」(High-acuity)?
When prioritizing patient care, which of the following is a 'high-acuity' patient?
- AA patient awaiting a minor surgery等待小型手術的病人
- BA patient with stable diabetes糖尿病穩定的病人
- CA patient with mild eczema患有輕微濕疹的病人
- DA patient requiring mechanical ventilation✓ 正解需要機械通氣的病人
— Explanation · 中文詳解 —
在優先排序(Prioritization)中,護理師必須根據 ABCs(Airway, Breathing, Circulation)原則,優先處理生命徵象不穩或呼吸功能受損的病人。「高敏銳度」(High-acuity)病人意指需密切監測及持續性護理介入者,機械通氣病人隨時有氣道阻塞、氣胸或呼吸機脫落的致命風險,因此優先級最高。
High-acuity patients require immediate and continuous monitoring due to unstable vital signs or compromised airway, breathing, or circulation. A client on mechanical ventilation is considered high-acuity because of the constant risk of airway obstruction, ventilator disconnect, or tension pneumothorax. In contrast, patients with stable conditions or routine needs are lower priority.