— 照護管理 · MEDIUM · SATA —
護理長應將哪些病人分配給新進護理師？（選所有適合的）
Which clients should the charge nurse assign to the newly licensed nurse? (Select all that apply.)
- AA client 2 days post-op after a total knee replacement needing physical therapy✓ 正解全膝關節置換術後第 2 天、需要物理治療的個案
- BA client with stage 3 heart failure complaining of acute chest pain患有第 3 期心衰竭並主訴急性胸痛的個案
- CA client with type 2 diabetes preparing for discharge education✓ 正解準備接受出院衛教的第 2 型糖尿病個案
- DA client receiving a blood transfusion for the first time首次接受輸血的個案
- EA client with a stable wound infection requiring daily dressing changes✓ 正解傷口感染穩定、需要每日換藥的個案
— Explanation · 中文詳解 —
新進護理師應負責病情穩定、護理常規明確的病患。選項 B 病況不穩（急性胸痛）需資深護理師處理；選項 D 輸血具高危險性，需密切監測急性輸血反應。A、C、E 的病況預期穩定且護理重點明確，適合新手練習。
The charge nurse should assign stable clients with routine care needs to the newly licensed nurse, such as those requiring physical therapy, discharge education, or daily wound care. Clients with acute conditions like chest pain or high-risk procedures like initial blood transfusions require the advanced assessment skills and experience of a senior nurse.
✦ 台美臨床差異
美國重視新進護理師導師制（Preceptor）；台灣偏向隨組輪調，對新手能力的信任度分配較具彈性。