— 照護管理 · HARD · MCQ —
護理師在急診室進行分流檢傷。下列哪位病人應優先處理？
A nurse is triaging clients in the emergency department. Which client should be seen first?
- AA middle-aged client with a small, clean laceration on the forearm前臂有小型清潔割傷的中年客戶
- BAn older adult complaining of indigestion and nausea✓ 正解抱怨消化不良和噁心的老年人
- CA child with an earache and clear nasal drainage患有耳痛和清澈鼻漏的兒童
- DA young adult reporting a mild sore throat and low-grade fever報告輕微喉嚨痛和低燒的青年成人
— Explanation · 中文詳解 —
在急診檢傷（Triage）中，必須優先識別潛在的威脅生命症狀（Life-threatening conditions）。高齡者對心肌梗塞（Myocardial Infarction, MI）的臨床表現通常不典型，常見噁心、消化不良、極度疲憊或呼吸困難，而非典型的胸痛。此類病人需視為優先處理對象，以防止病情惡化為心律不整或心因性休克。其餘選項皆為非急性且穩定的病況，可依檢傷分級排在後續處理。
Older adults often present with atypical symptoms of myocardial infarction, such as indigestion and nausea, making this client the highest priority for immediate assessment and intervention.