護理長應該將哪位病人指派給剛領照的新進護理師？
Which of the following clients should the charge nurse assign to a newly licensed nurse?
- AA client requiring titration of continuous intravenous vasopressors需持續滴定靜脈血管加壓藥物的病人
- BA client receiving a new blood transfusion requiring constant monitoring接受需持續監測之新輸血的病人
- CA client who is two days post-operative following a routine cholecystectomy✓ 正解例行性膽囊切除術後兩天的病人
- DA client with a complex multi-system trauma diagnosis患有複雜多系統創傷的病人
護理長在分配病人給新進護理師時，必須考量其經驗、技能以及病人的複雜度和穩定性，確保病人安全並讓新進護理師能逐步建立信心與能力。 正確答案 C（兩天前接受例行性膽囊切除術的病人）是最適合指派給新進護理師的病人。此類病人病情通常穩定，預後可預測，護理需求也相對單純（如術後疼痛控制、傷口照護、監測生命徵象），有助於新進護理師練習基礎的術後照護。 選項 A（需要持續滴定血管加壓藥物的病人）屬於高複雜度、高風險病人，需要 RN 豐富的經驗來監測藥物反應、調整劑量並處理潛在的併發症。選項 D（複雜多系統創傷病人）需要 RN 具備跨系統的評估能力、危機處理能力和協調能力。選項 B（接受新輸血且需密集監測的病人）雖然病人病情可能穩定，但輸血反應可能發生且需要即時辨識與處理，對新進護理師而言仍有一定風險，通常會指派給較有經驗的護理師。
A stable client who is two days post-operative from a routine cholecystectomy is the most appropriate assignment for a newly licensed nurse, as their needs are predictable and focused on basic post-operative care. Clients requiring vasopressor titration, those with complex multi-system trauma, or those receiving new blood transfusions require advanced clinical judgment and experience that exceeds the scope of a novice nurse.