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照護管理 · MEDIUM · SATA

護理長正在分配病房任務,下列哪些病人適合分配給新進護理師?(選所有適合的)

A charge nurse is planning assignments. Which clients are appropriate to assign to a newly licensed nurse? (Select all that apply.)

  • AA client requiring complex dressing changes and frequent medication titration
    需要複雜傷口護理及頻繁藥物劑量調整的案主
  • BA client awaiting discharge with stable vital signs✓ 正解
    生命徵象穩定、等待出院的案主
  • CA client admitted yesterday for diagnostic testing with no acute changes✓ 正解
    昨日因診斷檢查入院且無急性變化的案主
  • DA client who just returned from surgery with an unstable airway
    剛手術返回且呼吸道不穩定的案主
  • EA client requiring routine monitoring and standard wound care✓ 正解
    需要常規監測及標準傷口護理的案主
Explanation · 中文詳解

新進護理師應負責病情穩定、護理需求可預測的病人。B(準備出院)、C(診斷檢查中且穩定)及 E(常規監測與傷口護理)均屬穩定個案。A 需要藥物滴定(titration)與複雜傷口處理,屬於高危險且高技術需求;D 呼吸道不穩定屬於急性且需要進階監測,不應交給新進人員。

A newly licensed nurse should be assigned stable clients with predictable care needs. B (awaiting discharge), C (admitted for diagnostic testing with no acute changes), and E (routine monitoring and standard wound care) are all stable cases. A requires medication titration and complex wound care, which is high-risk and technically demanding; D involves an unstable airway, which is acute and requires advanced monitoring, and should not be assigned to a newly licensed nurse.

✦ 台美臨床差異

美國有完善的 Preceptor 制度,新人會有資深護理師指導一段時間;台灣新人訓練多靠「學長姐制」,流動率高時可能提早獨立值班。

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