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生理適應 · EASY · MCQ

病人因臉、頸及胸部灼傷入院,護理師首要關注的焦點為何?

A client is admitted with burns on the face, neck, and chest. What is the nurse's primary concern?

  • APain management
    疼痛管理
  • BFluid balance
    液體平衡
  • CInfection prevention
    感染預防
  • DAirway patency✓ 正解
    呼吸道通暢
Explanation · 中文詳解

臉、頸與胸部的燒傷(Burns)屬於高度危險區域,最致命的併發症是吸入性損傷(Inhalation injury)導致的呼吸道水腫與阻塞。燒傷後水腫通常會迅速進展,即使病人入院時呼吸看起來正常,護理師仍須將呼吸道通暢(Airway patency)視為最高優先級的護理評估焦點,以防隨時可能發生的窒息風險。

Burns to the face, neck, and chest pose an immediate risk of airway compromise due to rapid edema and potential inhalation injury. Therefore, ensuring airway patency is the highest priority assessment, even if the patient appears stable initially, to prevent sudden respiratory obstruction.

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