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照護管理 · MEDIUM · MCQ

護理長正在規劃今日工作分配。哪位病人應交由最有經驗的護理師負責?

A charge nurse is planning assignments for the day. Which client should be assigned to the most experienced registered nurse?

  • AA client scheduled for a routine physical assessment
    預約進行常規身體檢查的病人
  • BA client with acute respiratory distress syndrome (ARDS) requiring titration of ventilator settings✓ 正解
    急性呼吸窘迫症候群 (ARDS) 病人,需調整呼吸器設定
  • CA client newly admitted with a diagnosis of stable angina
    新入院診斷為穩定型心絞痛的病人
  • DA client who is two days post-appendectomy and stable
    闌尾切除術後兩天且狀況穩定的病人
Explanation · 中文詳解

護理人力分配原則應基於病人的複雜度、病情穩定性及所需的護理技術。資深護理師(Experienced RN)應負責病情不穩定、需要頻繁監測、複雜醫療設備操作或高風險的病人。ARDS 病人涉及嚴重的呼吸衰竭,需持續監測動脈血氣分析(ABG)並精確調整呼吸器參數,屬於重症護理範疇,故由資深人員負責最為適當。

Nursing assignments should be based on the client's complexity, stability, and required nursing skills. The most experienced RN should care for clients who are unstable, require frequent monitoring, operate complex medical equipment, or are at high risk. A client with ARDS has severe respiratory failure, requiring continuous monitoring of arterial blood gases (ABG) and precise titration of ventilator settings; this falls under critical care nursing and is most appropriately assigned to an experienced RN.

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