— 照護管理 · HARD · MCQ —
護理師協助醫師在床邊放置胸管，在過程中護理師的主要角色為何？
A nurse is assisting a provider with a bedside chest tube insertion. What is the nurse's primary role during this procedure?
- AMonitor the client's vital signs and respiratory status✓ 正解監測病人的生命徵象及呼吸狀態
- BAdminister local anesthesia to the insertion site在插入部位施予局部麻醉
- CPerform the insertion under the physician's supervision在醫師監督下執行置管
- DAssist with the sterile field setup and supply management協助建立無菌區域及管理供應品
— Explanation · 中文詳解 —
在執行侵入性操作時，護理師的首要職責為「病人安全監測」。雖然準備器材很重要，但在放置胸管期間，病人的生命徵象（如心律不整、血壓下降、呼吸惡化）直接反映了程序對病人的影響，因此監測生命徵象應置於優先地位。
During a bedside chest tube insertion, the nurse's primary role is to monitor the client's vital signs and respiratory status to detect complications early. While assisting with sterile setup is important, continuous patient assessment takes precedence to ensure safety during this invasive procedure.
✦ 台美臨床差異
美國護理師常受過特定訓練擔任助手的角色監測；台灣護理師通常負責準備物品與維持無菌環境，醫師需自顧病人反應。