— 照護管理 · EASY · MCQ —
護理長正在安排護理工作，哪位病人最適合分配給剛取得執照的護理師？
A charge nurse is planning assignments. Which client should be assigned to the newly licensed nurse?
- AA client recovering from a laparoscopic cholecystectomy✓ 正解正從腹腔鏡膽囊切除術恢復的病人
- BA client with complex post-operative wound care有複雜術後傷口照護需求的病人
- CA client with a new colostomy requiring teaching有新式腸造口術且需要衛教的病人
- DA client awaiting transfer to the intensive care unit等待轉入加護單位的病人
— Explanation · 中文詳解 —
剛取得執照的護理師應負責病情穩定、護理需求可預測且不需要複雜評估的病人。腹腔鏡膽囊切除術後的個案處於術後恢復期，護理常規明確，風險相對低。人工肛門衛教需要護理專業技巧，術後複雜傷口與等待轉入加護病房的重症個案，均屬於不穩定或需高度專業評估者。
A newly licensed nurse should be assigned clients who are stable, have predictable nursing needs, and do not require complex assessment. A client recovering from laparoscopic cholecystectomy is in a routine post-operative course with relatively low risk. Colostomy teaching requires advanced nursing skill, complex post-operative wound care and clients awaiting ICU transfer are unstable or require highly skilled assessment.
✦ 台美臨床差異
美國護理師依能力分級分配病人較嚴格；台灣臨床通常採護病比固定，新手護理師常需由資深帶領進行相同照護。