護理長正在規劃班表配置。下列哪位病人最適合分配給剛取得執照的新進護理師照顧?
A charge nurse is planning assignments for the shift. Which client is most appropriate to assign to a newly licensed nurse?
- AA client requiring titration of intravenous nitroglycerin需要調整靜脈注射硝酸甘油的患者
- BA client with stable chronic obstructive pulmonary disease requiring routine oxygen therapy✓ 正解患有穩定的慢性阻塞性肺疾病且需要常規氧療的患者
- CA client exhibiting signs of alcohol withdrawal syndrome requiring frequent monitoring出現酒精戒斷症狀且需要頻繁監測的患者
- DA client scheduled for a complicated wound debridement預定進行複雜傷口清創的患者
護理配置原則應考量病情的穩定性與護理複雜度。新進護理師應優先照護病情穩定(Stable)、可預測(Predictable)且護理常規化的病人。穩定型慢性阻塞性肺病只需執行基礎給氧與觀察,風險相對較低,適合訓練臨床評估能力。
Nursing assignment principles should consider the stability of the patient's condition and the complexity of care. A newly licensed nurse should preferentially care for patients whose condition is stable, predictable, and routine in nursing care. A stable patient with chronic obstructive pulmonary disease typically requires only basic oxygen administration and observation, with a relatively low risk, and is suitable for training clinical assessment skills.
台灣新人護理師通常由學姊(Preceptor)進行一對一指導,而美國則多依據護理師分級制度與病人照護時數(Acuity)進行分配。