— 照護管理 · MEDIUM · MCQ —
護理長正在分配內外科病房的照護個案。下列哪位病人應分配給經驗最豐富的護理師？
A charge nurse is planning the nursing assignment for a medical-surgical unit. Which client should be assigned to the most experienced nurse?
- AA client with a complex abdominal surgery and a PCA pump✓ 正解一位患有複雜腹部手術且使用病人自控鎮痛（PCA）泵的病人
- BA client with a newly diagnosed insulin-dependent diabetes一位新診斷為胰島素依賴性糖尿病的病人
- CA client with a stage 1 pressure ulcer needing routine turning一位患有第一期壓瘡需要常規翻身護理的病人
- DA client with a minor upper respiratory infection一位患有輕微上呼吸道感染的病人
— Explanation · 中文詳解 —
護理分配原則應基於病人的護理需求複雜度與護理師的專業能力（Scope of practice）。PCA（病人自控式止痛）管路監測、複雜術後評估、呼吸抑制監測等，需要資深護理師具備高度的臨床判斷力與警覺性。對於新診斷疾病的衛教雖重要，但可分配給具備教學能力的護理師，而單純的壓瘡護理或輕症感染則較適合一般程度護理師。
The most experienced nurse should be assigned the client with complex abdominal surgery and a PCA pump due to the need for advanced monitoring of pain management and potential respiratory depression. This patient's condition requires higher clinical judgment compared to those with stable, routine, or minor health issues.