— 照護管理 · MEDIUM · MCQ —
護理長正在進行人力分配，哪位病人應分配給最具經驗的護理師？
A charge nurse is managing staff assignments. Which client should be assigned to the most experienced registered nurse?
- AA 45-year-old client with a stable hip fracture awaiting physical therapy一位45歲髖骨骨折且病情穩定、等待物理治療的病人
- BA 30-year-old client with a clean abdominal incision requiring dressing changes一位30歲腹部切口清潔、需要換藥的病人
- CA 60-year-old client experiencing an acute myocardial infarction with unstable hemodynamics✓ 正解一位60歲急性心肌梗塞且血流動力學不穩定的病人
- DA 50-year-old client with controlled Type 2 diabetes receiving oral medications一位50歲第二型糖尿病病情受控、接受口服藥物的病人
— Explanation · 中文詳解 —
根據護理分配原則，危急重症或狀況不穩定的病人（Unstable）需由資深護理師負責。心肌梗塞伴隨血流動力學不穩定，隨時有心律不整或心因性休克風險，需具備高度評估能力與急救判斷力，而其餘選項均為病情穩定之個案。
The most experienced nurse should be assigned to the client with an acute myocardial infarction and unstable hemodynamics because this patient requires critical thinking and rapid intervention for potential complications like arrhythmias or shock. Other clients described have stable conditions or routine needs that do not demand the highest level of acuity management.
✦ 台美臨床差異
美國採病患分級制（acuity-based staffing）；台灣受限於護病比，通常由護理長依年資與病情穩定度進行人工排班。