一位從產後病房前來支援 (Float) 的護理師被分配到內外科病房值班。單位護理長正在分配病患。下列哪位病患是交由這位產後支援護理師照護最恰當且最安全的選擇？
A float nurse from the postpartum unit is assigned to the medical-surgical unit for the shift. The charge nurse is delegating clients. Which client is the most appropriate and safest assignment for this floated postpartum nurse?
- AA 60-year-old male recently admitted with acute chest pain undergoing a stat heparin drip and continuous cardiac monitoring.一位60歲男性，因急性胸痛近期入院，正接受靜脈注射肝素及連續心臟監測。
- BA 30-year-old female admitted for severe dehydration and pernicious anemia requiring a routine blood transfusion and normal saline IV fluids.✓ 正解一位30歲女性，因嚴重脫水和惡性貧血入院，需接受常規輸血及生理食鹽水靜脈輸液。
- CA 50-year-old male experiencing an acute severe asthma exacerbation receiving continuous nebulizer treatments.一位50歲男性，正經歷急性嚴重氣喘發作，並接受連續霧化治療。
- DA 45-year-old female post-op day 1 from an open laparotomy with a Jackson-Pratt drain requiring Jackson-Pratt output recording.一位45歲女性，開腹手術後第一天，帶有Jackson-Pratt引流管，需記錄引流液量。
本題測驗進階的任務指派 (Assignment for Floated Nurses)。產後病房 (Postpartum Unit) 的護理師日常核心專業能力包括：產後出血的靜脈輸液補充、疼痛控制、常規術後照顧（如剖腹產後），以及頻繁執行『輸血 (Blood transfusions)』來處置產後大出血。在檢視四個選項時，護理長必須尋找最穩定，且符合她原始專長的個案。選項 B 的 30 歲女性僅因嚴重脫水與貧血入院，需要打 Normal Saline 與「常規輸血」。打點滴與輸血正是產後護理師極度熟悉且每天操作的常規技能，病情也非常穩定，這是最完美的指派。選項 D 開放式剖腹手術帶有引流管 (JP drain) 雖然相對穩定，但屬於專門的外科照護，不是產後首選。選項 A 心絞痛合併 Heparin 滴注需要特殊的心電圖與心搏判讀能力（Telemetry），絕對不能給支援單位。選項 C 急性氣喘發作非常不穩定，隨時可能插管，不適合非相關專科支援護士。
This client is the safest assignment because managing IV fluids and routine blood transfusions aligns with the postpartum nurse's core competencies in hemorrhage control. Other options involve unstable conditions or specialized skills like telemetry interpretation that exceed the floated nurse's scope.
跨科調動 (Floating) 考點精華：尋找支援護理師的「原生科別」與「目標病患」的共通點。產後科 = 輸血/打點滴/剖腹產傷口。台美邏輯完全相同。