— 照護管理 · EASY · MCQ —
護理長正在規劃班表，哪一位病人應分配給資深護理師負責？
A charge nurse is planning assignments for the shift. Which client should be assigned to the most experienced nurse?
- AA client recovering from a routine appendectomy常規闌尾切除術後恢復中的病人
- BA client with a peripheral IV needing dressing change周邊靜脈留置針需更換敷料的病人
- CA client with a newly inserted chest tube✓ 正解新插入胸腔引流管的病人
- DA client diagnosed with stable chronic bronchitis診斷為穩定型慢性支氣管炎的病人
— Explanation · 中文詳解 —
護理管理中的病人分配原則（Assignment）應依據病人的病情複雜度與護理師的專業能力進行匹配。剛放入胸管（Chest tube）的病人處於急性期，胸管系統需要持續監測是否有氣泡、引流量、呼吸音變化及傷口感染徵兆，且具備高風險併發症（如張力性氣胸）。此類病人需要具備高階評估能力、能及時識別異常並進行臨床判斷的資深護理師照護。
A client with a newly inserted chest tube requires complex assessment and monitoring for life-threatening complications such as tension pneumothorax or hemorrhage. This assignment demands the advanced clinical judgment and experience of the most qualified nurse to ensure proper tube function and rapid identification of abnormalities. Other clients described have stable conditions or routine needs that can be safely managed by less experienced staff.