護理師在內外科病房進行工作分配。以下哪位病人最適合由剛取得執照的護理師照顧？
A nurse is working in a medical-surgical unit and is assigning care for a group of clients. Which client is most appropriate for a newly licensed nurse to care for?
- AA client with unstable angina requiring frequent vital sign monitoring患有不穩定型心絞痛且需頻繁監測生命徵象的病人
- BA client with an acute stroke who has dysphagia and requires a swallow evaluation患有急性中風且有吞嚥困難、需進行吞嚥評估的病人
- CA client with a chest tube showing signs of a tension pneumothorax胸腔引流管顯示張力性氣胸跡象的病人
- DA client with a new colostomy requiring teaching on bag changing✓ 正解有新式腸造口術且需教導更換袋子的病人
剛取得執照的護理師應安排病情穩定、可預測性高且需要常規護理的病人。造口護理衛教屬於穩定且可預測的範疇，適合新手累積經驗。其他選項如不穩定心絞痛、張力性氣胸、急性腦中風吞嚥評估，均屬病情不穩定或具高風險，需由具臨床判斷經驗的資深護理師照護。
A newly licensed nurse should be assigned clients who are stable, highly predictable, and require routine care. Ostomy care teaching is stable and predictable, making it suitable for a new nurse to build experience. Other options such as unstable angina, tension pneumothorax, and acute stroke with dysphagia evaluation involve unstable conditions or high risk and require experienced nurses with strong clinical judgment.
美國護理師常依經驗分級照護病人，台灣護理人員編制常採分組護理，但在教學醫院會優先配置資深學姊帶領新人。