護理師正在內外科病房分配照顧對象,哪一位病人最適合分配給剛取得執照的新進護理師?
A nurse is working on a medical-surgical unit and is assigning care for a group of clients. Which client is most appropriate to assign to a newly licensed nurse?
- AA 65-year-old with a new onset of chest pain一位 65 歲出現新發胸痛的病人
- BA 45-year-old with a complex wound requiring wet-to-dry dressing一位 45 歲需要濕對乾敷料換藥的複雜傷口病人
- CA 50-year-old receiving an initial blood transfusion一位 50 歲接受初次輸血的病人
- DA 70-year-old requiring discharge teaching for newly diagnosed diabetes✓ 正解一位 70 歲新診斷糖尿病需要出院衛教的病人
新進護理師需處理穩定、常規的護理任務,以增進臨床技能與評估能力。糖尿病出院指導涉及結構化程序與衛教,屬於可預測的護理範圍。其他選項如胸痛屬於緊急狀況,輸血屬於高風險程序,複雜傷口則需要較高階的評估與決策經驗,皆不適合新手。
Newly licensed nurses should be assigned stable, routine nursing tasks to build their clinical skills and assessment abilities. Discharge teaching for a new diabetes diagnosis is a structured, predictable nursing activity well suited to a new nurse. The other options - acute chest pain, complex wound care, and initial blood transfusion - involve emergency situations, high-risk procedures, or advanced clinical judgment, none of which are appropriate for a novice.
美國新進護理師通常有較長 Preceptor 帶領期;台灣新進護理師通常在 3-6 個月內需承擔較高護理負荷。