— 照護管理 · MEDIUM · MCQ —
護理長正在分配當日工作。下列哪位病人應分配給經驗最豐富的護理師照顧？
A charge nurse is planning assignments for the day. Which client should be assigned to the most experienced nurse?
- AA client with a controlled chronic condition awaiting discharge患有受控慢性疾病且等待出院的病人
- BA client admitted 2 hours ago with unstable respiratory status✓ 正解兩小時前入院且呼吸狀態不穩定的病人
- CA client scheduled for a physical therapy session預約物理治療課程的病人
- DA client requiring a routine wound dressing change需要常規傷口敷料更換的病人
— Explanation · 中文詳解 —
護理指派原則的核心是「病人穩定度（Stability）」。剛入院且呼吸狀態不穩定（unstable respiratory status）的病人，具有極高的風險發生呼吸衰竭或突發性心肺驟停。資深護理師具備更敏銳的臨床判斷力與緊急處置技巧，能精確監測病況變化並在關鍵時刻採取行動，因此必須指派給最資深的護理師。
Nursing assignment is based primarily on client stability. A client admitted with unstable respiratory status carries a high risk of respiratory failure or cardiac arrest. The most experienced nurse is best able to recognize subtle deterioration and intervene quickly, making this the appropriate assignment.