— 照護管理 · MEDIUM · MCQ —
護理師接班後，應優先查看哪位病人？
A nurse is caring for multiple clients. Which client should the nurse see first upon starting the shift?
- AA client who just returned from surgery with a saturated dressing✓ 正解剛從手術室回來且敷料滲透的病人
- BA client with diabetes scheduled for a fasting blood glucose test預約進行空腹血糖測試的糖尿病病人
- CA client needing a routine dressing change for a minor abrasion需要為輕微擦傷進行常規換藥的病人
- DA client requesting pain medication for a migraine因偏頭痛請求止痛藥的病人
— Explanation · 中文詳解 —
護理優先順序（Prioritization）應依據 ABC（呼吸、呼吸道、循環）原則及病人的穩定度判斷。術後病人傷口敷料滲血（Saturated dressing）暗示可能存在活動性出血，這直接影響循環系統的穩定性，屬於高風險情況，必須立即評估與介入。其他選項如糖尿病檢查、偏頭痛或小擦傷，皆屬於穩定狀態或非緊急護理範疇。
The nurse should prioritize the postoperative client with a saturated dressing, as this indicates active bleeding and potential hypovolemic shock, which threatens circulatory stability. This acute safety concern takes precedence over routine assessments or stable conditions.