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照護管理 · HARD · MCQ

一位來自一般兒科病房的浮動護理師被指派到新生兒加護病房(NICU)。下列哪位病人最適合此浮動護理師照護?

A float nurse from the general pediatric floor is reassigned to the Neonatal Intensive Care Unit (NICU). Which client is the safest assignment for this float nurse?

  • AA 1-month-old stable full-term infant awaiting discharge teaching about bottle feeding.✓ 正解
    一名等待奶瓶餵食出院衛教的穩定足月嬰兒。
  • BA 26-week premature infant requiring umbilical artery catheter placement today.
    一名今天需要放置臍動脈導管的26週早產兒。
  • CA term newborn with new lethargy and fever, sepsis workup pending.
    一名出現新發嗜睡和發燒的足月新生兒,敗血症檢查待進行中。
  • DA 3-day-old extremely premature neonate on high-frequency oscillatory ventilator with pulmonary hypoplasia.
    一名患有肺發育不全且使用高頻振盪呼吸器的3天大極度早產兒。
Explanation · 中文詳解

跨科支援護理師應分派最穩定、最不需專科技術的病人。 選項 A 正確:1 個月大穩定足月兒等出院衛教,照護需求僅餵奶與換尿布,符合一般兒科護理師既有技能。 選項 B 錯誤:26 週早產兒臍動脈導管放置需 NICU 專業。 選項 D 錯誤:高頻振盪呼吸器需 NICU 進階訓練。 選項 C 錯誤:新發疑似敗血症新生兒需快速反應與專業評估。

Float nurse assignments should match existing competencies and assign the most stable client. C correct: A stable 1-month-old full-term infant ready for discharge teaching matches general pediatric skills—feeding and diapering. A incorrect: 26-week preterm UAC placement requires NICU expertise. B incorrect: High-frequency oscillatory ventilation needs advanced NICU training. D incorrect: New-onset sepsis workup in a neonate requires specialty rapid assessment.

✦ 台美臨床差異

Float Nurse (跨科護理師) 完美應用:一般兒科去 NICU (新生兒加護病房),只能接『足月、穩定、快出院、只要餵奶』的巨嬰。台美的國考皆頻繁運用此邏輯測驗護生的醫療安全意識。

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