— 照護管理 · MEDIUM · MCQ —
護理長正在分配班次。哪一位病人應該分配給新進護理師照顧？
A charge nurse is planning assignments for the shift. Which client should be assigned to the newly licensed RN?
- AA client receiving an intravenous infusion of potassium chloride接受氯化鉀靜脈輸注的病人
- BA client admitted with a stable diagnosis of cellulitis receiving IV antibiotics✓ 正解因穩定的蜂窩性組織炎診斷入院並接受靜脈抗生素治療的病人
- CA client who is post-operative day 1 after a major bowel resection重大腸道切除術後第一天的病人
- DA client with a sudden change in mental status and respiratory distress出現突然意識狀態改變和呼吸困難的病人
— Explanation · 中文詳解 —
新進護理師應負責病情穩定、護理需求可預測且相對標準化的病人。蜂窩組織炎使用抗生素屬於例行性治療，病情較為穩定，適合新手練習時間管理與標準護理流程；其他選項涉及高風險藥物或不穩定生命徵象，需資深護理師照護。
Newly licensed nurses should be assigned clients with stable diagnoses and predictable care needs, such as a patient with cellulitis receiving IV antibiotics. This allows the novice nurse to practice time management and standard procedures safely, whereas other options involve high-risk medications, complex post-operative monitoring, or unstable conditions requiring experienced judgment.
✦ 台美臨床差異
美國醫院普遍有完善的 preceptor 制度；台灣護理師流動率高，新進人員常需在較短時間內承擔較重負荷，但原則上皆避免將重症病人分配給新手。