— 照護管理 · EASY · MCQ —
護理長進行病房工作分配。哪位病人最適合交由新進護理師照顧？
A charge nurse is planning assignments. Which client is most appropriate for a newly licensed nurse?
- AA client with stable congestive heart failure receiving oral medications✓ 正解患有穩定型充血性心臟衰竭並接受口服藥物治療的病人
- BA client receiving IV vancomycin with signs of a reaction接受靜脈注射萬古黴素並出現反應跡象的病人
- CA client experiencing acute alcohol withdrawal syndrome經歷急性酒精戒斷症候群的病人
- DA client with a new tracheostomy requiring frequent suctioning氣切術後需經常抽吸的病人
— Explanation · 中文詳解 —
新進人員應優先分配病情穩定、照護程序固定且可預測的病人。心衰竭患者病情穩定且口服藥物，護理工作較具重複性；氣切抽吸、酒精戒斷及藥物反應病人病情變化快，需具備更豐富的臨床判斷與緊急處理能力，不適合新進人員。
New orientees should be assigned to clients whose condition is stable and whose care procedures are routine and predictable. A client with stable heart failure on oral medications fits this profile, as the nursing care is largely repetitive. Tracheostomy suctioning, alcohol withdrawal, and clients with drug reactions can deteriorate rapidly and require advanced clinical judgment and emergency management skills, making them inappropriate for newly licensed nurses.
✦ 台美臨床差異
美國醫院由 Charge Nurse 全權決定分配；台灣多由護理長或督導依年資與能力分級配置。