— 照護管理 · EASY · MCQ —
護理長正在規劃工作分配，哪位病人適合交給新進護理師照顧？
A charge nurse is planning assignments. Which client is most appropriate to assign to a newly licensed nurse?
- AA client experiencing acute alcohol withdrawal requiring frequent assessment經歷急性酒精戒斷且需頻繁評估的個案
- BA client requiring complex wound care with a vacuum-assisted closure device需要複雜傷口照護並使用真空輔助閉合裝置的個案
- CA client with pneumonia receiving routine oral antibiotics and respiratory therapy✓ 正解接受常規口服抗生素和呼吸治療的肺炎個案
- DA client with a new diagnosis of unstable angina新診斷為不穩定型心絞痛的個案
— Explanation · 中文詳解 —
新進護理師（Newly licensed nurse）應分配到病情穩定、照護步驟標準化（Standardized care）且變異性較低的病人。肺炎病人若病情已穩定，其照護重點通常為給藥、觀察呼吸狀況與衛教，屬於新手護理師能勝任的範圍。反之，不穩定心絞痛、複雜傷口或急性戒斷皆需要豐富的臨床經驗來判斷潛在惡化風險。
A newly licensed nurse should be assigned to patients whose condition is stable, whose care is standardized, and who show low variability. A patient with stable pneumonia generally requires medication administration, observation of respiratory status, and education, all of which fall within the scope of a novice nurse. In contrast, unstable angina, complex wounds, or acute withdrawal all require extensive clinical experience to identify the potential for deterioration.