— 照護管理 · MEDIUM · MCQ —
護理師正在進行分派，哪位病人應該交給最有經驗的護理師負責？
A nurse is planning care for a group of clients. Which client should be assigned to the most experienced nurse?
- AA client requiring complex wound management and medication titration✓ 正解需要複雜傷口護理和藥物劑量調整的個案
- BA client scheduled for routine laboratory blood draws安排常規抽血檢驗的個案
- CA client with a stable post-operative fracture recovery骨折術後恢復穩定的個案
- DA client with a controlled blood pressure who is ambulating血壓受控且正在行走的個案
— Explanation · 中文詳解 —
經驗豐富的護理師應負責病情複雜、狀況不穩定或需要高度評估技巧的病人。複雜傷口護理（如壓瘡分級評估）及藥物滴定（titration）需要精確判斷力與隨時調整藥量的能力，對病人安全性至關重要，不適合經驗尚淺的護理師。
Experienced nurses should be assigned to clients whose conditions are complex, unstable, or require advanced assessment skills. Complex wound care (such as pressure ulcer staging assessment) and medication titration require precise judgment and the ability to adjust doses in real time, which are critical to patient safety and not appropriate for less experienced nurses.
✦ 台美臨床差異
在美國採用護理小組模式時，資深人員常擔任導師角色，責任分派更看重臨床表現而非僅是職稱。