— 生理適應 · EASY · MCQ —
護理師照護剛做完闌尾切除術的病人。哪項評估是最高優先級？
A nurse is caring for a patient who has just returned from an appendectomy. Which assessment is the highest priority?
- APain scale rating疼痛量表評分
- BRespiratory rate and effort✓ 正解呼吸頻率與努力程度
- CBowel sounds腸鳴音
- DSurgical site dressing手術部位敷料
— Explanation · 中文詳解 —
術後照護的核心原則為 ABC（氣道 Airway、呼吸 Breathing、循環 Circulation）評估。闌尾切除術後病人剛脫離麻醉，呼吸系統是最易發生抑制或阻塞的部位，因此呼吸速率與型態是評估麻醉恢復狀況與氣道通暢度的最高優先指標。其他選項雖為術後常規觀察項目，但其重要性均次於呼吸功能的穩定。
Aminoglycosides are nephrotoxic and have a narrow therapeutic index, requiring close monitoring of renal function indicators like creatinine and BUN, as well as peak and trough serum drug levels. These measurements help prevent toxicity and ensure the medication remains within the therapeutic range for efficacy.