— 照護管理 · EASY · MCQ —
外科病房護理長正在進行班表分配。下列哪位病人最適合交給剛領照的新進護理師照顧？
A charge nurse on a medical-surgical unit is planning assignments for the upcoming shift. Which client is most appropriate to assign to a newly licensed nurse?
- AA client scheduled for a complicated bedside surgical procedure預定進行複雜床邊手術的病人
- BA client requiring a complex dressing change with a wound vac需要複雜敷料更換並使用傷口負壓治療的病人
- CA client admitted yesterday with stable congestive heart failure✓ 正解昨日入院且充血性心臟衰竭狀況穩定的病人
- DA client experiencing acute alcohol withdrawal symptoms出現急性酒精戒斷症狀的病人
— Explanation · 中文詳解 —
分配原則需考慮護理師能力與病人病情穩定度。剛領照的護理師應優先分配病情穩定、照護常規且預測性高的個案。心衰竭病人病情穩定後，照護重點在於藥物給予與生命徵象監測，屬於中低複雜度。其餘選項涉及高度技術操作或頻繁的病況監測，更適合資深護理師。
A newly licensed nurse should be assigned a client with stable congestive heart failure, as this condition involves routine care and predictable outcomes. Complex procedures, advanced wound care, or acute withdrawal require the higher clinical judgment and technical skills of experienced nurses.
✦ 台美臨床差異
美國採護理師分級制（Preceptor/New Grad），台灣多採學姊制（Preceptorship），此題邏輯兩者通用。