— 安全與感染控制 · HARD · MCQ —
護理師進入病房發現病人無反應且無脈搏，應採取的第一項行動是什麼？
A nurse enters a room and finds a client unresponsive with no pulse. What is the first action the nurse should take?
- AAdminister rescue breaths給予救援呼吸
- BCall for help/Activate the emergency response team✓ 正解尋求協助／啟動緊急應變小組
- CBegin chest compressions開始胸部按壓
- DObtain the crash cart取得急救車
— Explanation · 中文詳解 —
根據美國心臟協會（AHA）的 ACLS 指引，當發現病人無反應且無脈搏時，首要任務是「啟動緊急救援系統（Activate emergency response）」，即呼叫協助與取得急救設備（Code Blue）。在確認救援人力到位後，應立即開始高品質的胸部按壓（Chest compressions）。此順序確保了後續急救資源的及時介入，是提高存活率的關鍵。
According to ACLS guidelines, the first action when finding an unresponsive client without a pulse is to activate the emergency response system to ensure rapid arrival of help and equipment. This step prioritizes mobilizing resources before initiating high-quality chest compressions to maximize survival chances.