— 照護管理 · MEDIUM · MCQ —
外科病房護理長正在進行班表分配，哪位病人應分配給經驗最豐富的護理師照顧？
A charge nurse on a medical-surgical unit is planning assignments for the upcoming shift. Which client should be assigned to the most experienced nurse?
- AA client with a fractured tibia awaiting physical therapy consultation一位脛骨骨折且等待物理治療諮詢的病人
- BA client with a newly placed tracheostomy requiring frequent suctioning✓ 正解一位新放置氣切套管且需要頻繁抽吸的病人
- CA client with diabetes mellitus who is preparing for discharge teaching一位糖尿病病人，準備接受出院衛教
- DA client with chronic kidney disease who is stable and scheduled for dialysis一位病情穩定且預約洗腎的慢性腎臟病病人
— Explanation · 中文詳解 —
護理人員分配（Nursing Assignment）應基於病人的護理需求、穩定性及護理師的專業能力。新置入氣切（Tracheostomy）的病人屬於呼吸道高風險個案，需要頻繁抽痰、監測氣管造口周圍皮膚、評估呼吸音及確保呼吸道暢通。若發生氣道阻塞或氧氣飽和度下降，需要資深護理師具備敏銳的臨床判斷力進行緊急處理，故應優先指派給經驗豐富的護理師。
A client with a newly placed tracheostomy requires advanced respiratory management skills, including frequent suctioning and vigilant monitoring for airway obstruction or respiratory distress. This complex, unstable airway situation necessitates assignment to the most experienced nurse to ensure patient safety, unlike stable orthopedic, diabetic, or renal patients.