護理長正在規劃病房護理分配。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 the unit. Which client is most appropriate to assign to a newly licensed registered nurse?
- AA client experiencing acute respiratory distress requiring close monitoring.經歷急性呼吸窘迫且需密切監測的個案
- BA client admitted for unstable angina needing frequent cardiac assessment.因不穩定型心絞痛入院且需頻繁心臟評估的個案
- CA client requiring complex wound care and IV antibiotic administration.需要複雜傷口護理及靜脈抗生素給药的個案
- DA client who is two days post-operative following a total hip arthroplasty.✓ 正解全髖關節置換術後兩天的個案
新進護理師的分配應優先考量病況穩定且護理程序具可預測性的對象。髖關節置換術後兩日的病人雖需護理，但處於恢復期，病情相對穩定，適合練習標準護理程序。A 需要較多專業判斷；A 與 B 屬於病情不穩定或具急性變化的個案，需資深護理師照護以確保安全。
Newly licensed nurses should be assigned clients with stable conditions and predictable outcomes to allow for practice of standard nursing procedures without compromising safety. A client two days post-total hip arthroplasty is typically stable and follows a routine recovery pathway, making them an appropriate assignment. In contrast, clients with acute respiratory distress, unstable angina, or complex wound care needs require the advanced assessment skills and experience of a seasoned nurse.
美國採病患照護需求分級，台灣多採固定病房分配，新進護理師通常由導師(preceptor)一對一陪伴，負擔個案數較少。