— 照護管理 · EASY · MCQ —
護理長正在分配內外科病房的護理工作。哪位病人最適合分配給剛取得執照的新進護理師？
A charge nurse is planning assignments for a medical-surgical unit. Which client should the nurse assign to a newly licensed nurse?
- AA client who requires complex wound dressing changes and titration of IV vasoactive drugs需要複雜傷口換藥及靜脈血管活性藥物劑量滴定的病人
- BA client who is being admitted with an acute myocardial infarction and unstable cardiac arrhythmias因急性心肌梗塞伴隨不穩定心律不整而收治的病人
- CA client who is 2 days post-operative following an appendectomy and requires ambulation assistance✓ 正解盲腸切除術後第二天且需要協助下床活動的病人
- DA client who is experiencing active gastrointestinal bleeding and requires frequent vital sign monitoring出現活動性消化道出血且需要頻繁監測生命徵象的病人
— Explanation · 中文詳解 —
新進護理師應安排病情穩定、護理常規明確且風險較低的病人。盲腸炎術後兩天通常狀況穩定，主要任務為傷口評估與復健運動，屬於穩定病人。其他選項皆涉及不穩定生命徵象、複雜藥物監測或高風險急症，需由具經驗之護理師負責。
A client who is two days post-appendectomy and requires ambulation assistance is generally stable with predictable outcomes, making this an appropriate assignment for a newly licensed nurse. In contrast, clients with acute myocardial infarction, active gastrointestinal bleeding, or those requiring vasoactive drug titration are unstable and require the advanced assessment and critical thinking skills of an experienced nurse.
✦ 台美臨床差異
美國採初級護理制度，台灣則多為功能性或小組護理，對新人適應期之分派要求皆趨保守。