# 護理師聞到煙味並看到個案垃圾桶內有火焰，應優先採取哪項行動？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=397271&lang=zh-tw  
> language: zh-TW  
> subject: Accident/Error/Injury Prevention  
> category: SIPC

## 題目

護理師聞到煙味並看到個案垃圾桶內有火焰，應優先採取哪項行動？

## 選項

1. 關閉所有病房門窗。
2. 將個案從立即危險中救出。 **✔ 正確答案**
3. 完成記錄後按下警報。
4. 移動個案前嘗試滅火。

**正確答案: 2**

## 解析

RACE 順序始於救助任何處於立即危險中的人員。護理師接著啟動警報、控制火勢，並在安全情況下滅火或撤離。發生火災時，記錄並非優先事項。

## 深入解析

臨床判斷
利用個案線索、時機、檢驗數據及安全風險，選擇最符合火災安全首要行動的回應。

記憶提示
將最強的線索群組與最安全的護理判斷配對。

KR vs US
NCLEX 考題獎勵基於線索的優先思考，而非單獨的記憶。

## 臨床情境

臨床實務指引
針對火災安全首要行動，將完整的線索模式與個案當前的穩定性、醫囑數據及預期的護理範圍進行比較。

注意
當完整情境改變優先順序或安全性時，切勿僅根據單一線索選擇行動。

## 重要概念

- **RACE** — 火災應變順序：救助、警報、控制、滅火或撤離。
- **救助** — 將個案從立即危險中移開。
- **撤離** — 將人員從不安全的地點移至較安全的區域。

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