督導護理師應將哪些病人分派給經驗最豐富的護理師？（選所有適合的）
Which of the following clients should the charge nurse assign to the most experienced nurse? (Select all that apply.)
- AA client requiring unstable ventilator weaning✓ 正解需要不穩定呼吸器撤機的病人
- BA client with an acute MI receiving an active thrombolytic drip✓ 正解接受活性血栓溶解劑輸注的急性心肌梗塞病人
- CA client recovering from a minor superficial burn從輕微淺層燒傷恢復中的病人
- DA client post-craniotomy with fluctuating neurological status✓ 正解顱腦切除術後神經狀態波動的病人
- EA client with chronic constipation requiring oral laxatives需要口服瀉藥治療慢性便秘的病人
資深護理師應負責照顧病情不穩、複雜度高或需密切監測的病人。A（脫離呼吸器不穩）、B（血栓溶解治療涉及出血高風險）、D（神經狀況波動，隨時有 ICP 增加風險）均屬於高風險且需高度評估能力的病人。C 與 E 屬於相對穩定且可預測的病人，適合資歷較淺者。
Experienced nurses should be assigned to clients who are unstable, highly complex, or require close monitoring. Option A (unstable ventilator weaning), option B (thrombolytic therapy, which carries a high bleeding risk), and option D (post-craniotomy with fluctuating neurological status and ongoing risk of increased intracranial pressure) all involve high-risk clients who require advanced assessment skills. Options C and E represent relatively stable and predictable clients suitable for less experienced staff.
美台皆採病人嚴重度作為分派指標，但台灣常受限於護病比，導致資深護理師被迫照顧過多病人。