— 照護管理 · HARD · MCQ —
單位護理長在分配病人，哪位病人應交由最資深的護理師照顧？
A charge nurse is planning client assignments. Which client should be assigned to the most experienced nurse?
- AA client requiring assistance with activities of daily living需要協助進行日常生活活動的病人
- BA client with a new colostomy requiring teaching有新式人工肛門且需要衛教的病人
- CA client who is stable and awaiting discharge instructions病情穩定且等待出院衛教的病人
- DA client with an unstable cardiac arrhythmia on a continuous drip✓ 正解患有不穩定性心律不整並接受連續靜脈滴注的病人
— Explanation · 中文詳解 —
護理人員分配（delegation/assignment）需考量病人的病情穩定度、複雜度與護理技能需求。心律不整（arrhythmia）且需連續滴注（continuous drip）藥物（如 amiodarone 或 lidocaine）的病人，病情極不穩定且具致命風險，需具備心電圖判讀與急救判斷能力的資深護理師照顧。
Nursing assignment and delegation must take into account client stability, complexity, and required nursing skills. A client with cardiac arrhythmia receiving a continuous IV drip of an antiarrhythmic agent (such as amiodarone or lidocaine) is hemodynamically unstable and at risk for life-threatening events, and therefore requires an experienced nurse capable of ECG interpretation and emergency clinical judgment.