還有更多這樣的題目挑戰 ›

護理師在大樓倒塌後執行 START 檢傷分類。哪些發現需要立即追蹤？請標示符合立即紅色標籤標準的發現。

Highlight in Table

選擇作答後，查看答案。

Victim傷患	Triage finding檢傷發現
Victim 1傷患 1	Breathing is spontaneous at 36/min after the airway is found open.呼吸道確認暢通後，自發性呼吸速率為 36/min。
Victim 2傷患 2	The victim walks to the designated area with small cuts on both hands.傷患走到指定區域，雙手有輕微割傷。
Victim 3傷患 3	Breathing is 18/min and capillary refill is 2 seconds, but the victim cannot follow commands.呼吸速率為 18/min，微血管回填時間為 2 秒，但傷患無法遵從指令。
Victim 4傷患 4	An open lower-leg fracture is present; breathing is 24/min and commands are followed.有開放性小腿骨折；呼吸速率為 24/min，且能遵從指令。
Victim 5傷患 5	Breathing is 22/min, but capillary refill remains four seconds.呼吸速率為 22/min，但微血管回填時間仍為四秒。
Victim 6傷患 6	Partial-thickness burns involve both arms; radial pulse is present and commands are followed.雙臂有部分皮層燒傷；可觸及橈動脈脈搏，且能遵從指令。
Victim 7傷患 7	A closed thigh fracture is present; breathing is 26/min and the radial pulse is palpable.有閉鎖性大腿骨折；呼吸速率為 26/min，且可觸及橈動脈脈搏。
Victim 8傷患 8	Breathing is 20/min and the radial pulse is present, but commands are not followed.呼吸速率為 20/min，且可觸及橈動脈脈搏，但無法遵從指令。
Victim 9傷患 9	The victim walks with an ankle sprain and correctly states name and location.傷患踝關節扭傷行走，且能正確說出姓名和地點。

查看答案

相同主題的下一題A nurse is caring for a client newly admitted with suspected methicillin-resistant Staphyl…本題收錄於此題庫[전통+신유형] NCLEX LEVEL UP 패키지KRW 79,000

僅供學習參考。實際臨床請遵循最新指引與所屬機構規範。