— 照護管理 · HARD · MCQ —
護理長正在進行病房工作分配。下列哪位病人最適合交給新進護理師照顧？
An charge nurse is assigning clients to staff members. Which client is most appropriate for a newly licensed nurse?
- AA 50-year-old who is 2 hours post-thoracotomy with chest tubes一位術後 2 小時的胸腔手術 50 歲病人，帶有胸管
- BA 30-year-old admitted for suspected sepsis with hypotension一位因疑似敗血症伴隨低血壓而入院的 30 歲病人
- CA 45-year-old with a new colostomy requiring teaching✓ 正解一位有新式結腸造口術且需要衛教的 45 歲病人
- DA 72-year-old with unstable angina and multiple comorbidities一位患有不穩定型心絞痛且有多重共病的 72 歲病人
— Explanation · 中文詳解 —
新進護理師應安排病情穩定、具可預測性且適合練習護理技術的病人。選項 C 的造口衛教雖重要，但病人生理狀態穩定，適合初階護理師操作與學習。D、A、B 皆涉及不穩定狀態、高風險監測或複雜的緊急處置，屬資深護理師職責。
Newly licensed nurses should be assigned stable clients with predictable outcomes who require standard teaching, such as a client with a new colostomy. This assignment allows the novice nurse to develop clinical skills without managing complex emergencies or unstable conditions like sepsis, recent thoracotomy, or unstable angina.
✦ 台美臨床差異
美國醫院設有完善的護理導師 (Preceptor) 制度；台灣新手護理師則多採「學姊制」指導，分配工作時需更謹慎。