— 照護管理 · MEDIUM · MCQ —
護理長在進行護理人員工作分配，下列哪位病人應分配給資深護理師負責？
A charge nurse is planning assignments. Which client should be assigned to the most experienced nurse?
- AA client with chronic stage 2 pressure ulcers requiring dressing changes患有需更換敷料的慢性二期壓瘡的客戶
- BA client scheduled for discharge with a stable diagnosis of diabetes mellitus診斷穩定的糖尿病擬出院客戶
- CA client newly admitted with suspected pulmonary embolism and respiratory distress✓ 正解新入院疑似肺栓塞且有呼吸困難的客戶
- DA client receiving routine blood pressure medications and oral fluids接受常規血壓藥物及口服液體的客戶
— Explanation · 中文詳解 —
分配原則依據病人的穩定性、複雜度與專業需求。肺栓塞屬於危急狀態（Life-threatening），涉及氣道、呼吸及循環（ABC），隨時可能惡化為休克或呼吸衰竭，必須由具備急性照護經驗的資深護理師密切監控；其餘病人多屬病情穩定或常規照護範疇，適合由一般或初級護理師照顧。
The most experienced nurse should be assigned to the client with suspected pulmonary embolism because this condition is unstable and potentially life-threatening. This assignment aligns with the need for advanced assessment skills to manage acute respiratory and circulatory compromise, unlike the stable clients listed in other options.
✦ 台美臨床差異
美國護理師職級與分派明確，台灣多以輪班制照護為主，但皆強調危急個案由資深人員照護。