— 照護管理 · MEDIUM · MCQ —
護理長正在分配班表。哪一位病人應該分配給經驗最豐富的註冊護理師（RN）？
A charge nurse is planning assignments for the shift. Which client should be assigned to the most experienced registered nurse (RN)?
- AA client who is 2 days postoperative following a radical neck dissection✓ 正解接受根治性頸部切除術後第2天的病人
- BA client newly diagnosed with type 2 diabetes requiring insulin teaching新診斷為第二型糖尿病且需要胰島素衛教的病人
- CA client admitted for dehydration receiving oral rehydration therapy因脫水入院並接受口服復水療法的病人
- DA client with stable chronic obstructive pulmonary disease (COPD)患有穩定期慢性阻塞性肺病（COPD）的病人
— Explanation · 中文詳解 —
頸部廣泛切除術（Radical neck dissection）術後病人面臨氣道阻塞、出血及皮瓣壞死等高危險併發症，屬於不穩定且複雜的病況，需由資深 RN 密切監測。糖尿病衛教（B）、穩定慢性病（D）及輕度脫水（C）的照護相對穩定且預測性高。
A client who has undergone radical neck dissection is at risk of high-risk complications such as airway obstruction, hemorrhage, and flap necrosis postoperatively. This is an unstable and complex condition that requires close monitoring by an experienced RN. Diabetic teaching (B), stable chronic disease (D), and mild dehydration (C) involve relatively stable, predictable care.
✦ 台美臨床差異
美國採病房分級制度，此類複雜病患通常位於 ICU 或步驟級單位；台灣則依病房屬性配置人力。