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照護管理 · MEDIUM · MCQ

護理長在規劃班表,下列哪位病人應分配給經驗最豐富的護理師?

A charge nurse is planning the client assignment for the shift. Which client should be assigned to the most experienced nurse?

  • AA client with a stable hip fracture waiting for surgery
    等待手術的穩定型髖部骨折病人
  • BA client recovering from a minor procedure with stable vitals
    生命徵象穩定的小手術後恢復期病人
  • CA client with type 2 diabetes preparing for discharge
    準備出院的第二型糖尿病病人
  • DA client newly admitted with suspected pulmonary embolism✓ 正解
    新入院疑似肺栓塞的病人
Explanation · 中文詳解

護理管理中的病人分配核心原則在於「病情嚴重度(Acuity)」與「照護複雜度」。資深護理師應負責病情不穩定、有潛在生命威脅或需要高度臨床判斷力的病人。肺栓塞(Pulmonary Embolism, PE)屬於急性且極度不穩定狀況,病人可能隨時發生心肺衰竭或休克,必須具備敏銳的評估能力與緊急應變技巧,因此是資深護理師的首選對象。

The core principle of patient assignment in nursing management is based on acuity and complexity of care. The most experienced nurse should care for patients who are unstable, who have potential life-threatening conditions, or who require advanced clinical judgment. Pulmonary embolism (PE) is an acute and highly unstable condition in which the client may experience cardiopulmonary failure or shock at any time, requiring keen assessment skills and emergency response abilities. Therefore, this is the priority assignment for an experienced nurse.

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