— 照護管理 · EASY · MCQ —
護理長正在分配班表。哪位病人應被分配給最有經驗的註冊護理師？
A charge nurse is planning assignments for the shift. Which client should be assigned to the most experienced registered nurse?
- AA client requiring assistance with activities of daily living.需要日常生活活動協助的病人。
- BA client admitted for routine observation following a concussion.因腦震盪入院接受常規觀察的病人。
- CA client with a new diagnosis of unstable angina experiencing chest pain.✓ 正解新診斷為不穩定型心絞痛並經歷胸痛的病人。
- DA client who is 3 days post-operative following an uncomplicated appendectomy.無併發症闌尾切除術後三天的病人。
— Explanation · 中文詳解 —
護理分配需遵循病人病情複雜度與護理師專業能力相匹配的原則。不穩定心絞痛（Unstable angina）屬於高風險心血管疾病，隨時可能惡化為心肌梗塞或心律不整，需要資深護理師進行密切的生命徵象監測、心電圖判讀以及緊急藥物處置。其他選項如常規觀察、ADL 協助或術後恢復期病人，病情相對穩定，適合由較資淺的護理師執行。
The client with unstable angina experiencing chest pain should be assigned to the most experienced nurse due to the high acuity and risk of rapid deterioration into myocardial infarction. This condition requires advanced clinical judgment for continuous monitoring, ECG interpretation, and emergency intervention, unlike the other stable clients listed.