— 照護管理 · MEDIUM · MCQ —
護理師在急診進行檢傷分類，哪位病人應優先就診？
A nurse is triaging clients in an emergency department. Which client should be seen first?
- AA 30-year-old with a laceration on the forearm一名前臂有撕裂傷的30歲患者
- BA 45-year-old with crushing chest pain and diaphoresis✓ 正解一名有壓迫性胸痛及盜汗的45歲患者
- CA 60-year-old with a fever and cough for three days一名發燒且咳嗽三天的60歲患者
- DA 20-year-old with a sprained ankle一名腳踝扭傷的20歲患者
— Explanation · 中文詳解 —
檢傷分類（Triage）必須基於「ABC原則」（氣道、呼吸、循環）。胸痛伴隨冒汗（Diaphoresis）是急性冠心症（ACS）的典型臨床表現，隨時可能演變為心肌梗塞或致命性心律不整，屬於危急生命的第一級急症。其他選項如撕裂傷、發燒、扭傷，雖需治療，但生命徵象通常穩定，屬於較低優先級的急診處理對象。
The client with crushing chest pain and diaphoresis should be seen first because these symptoms suggest acute coronary syndrome or myocardial infarction, which are life-threatening emergencies. According to triage principles based on ABCs (Airway, Breathing, Circulation), unstable cardiovascular conditions take priority over stable injuries like lacerations, sprains, or mild infections.