— 照護管理 · MEDIUM · MCQ —
下列哪位病人應由資深護理師優先照顧？
Which of the following clients should the charge nurse prioritize for assignment to an experienced RN?
- AA client newly admitted with suspected pulmonary embolism reporting sudden chest pain✓ 正解因懷疑肺栓塞新入院並主訴突發胸痛之病人
- BA client requesting assistance with morning hygiene and breakfast請求協助晨間衛生及早餐之病人
- CA client scheduled for discharge with diabetes mellitus needing insulin teaching預計出院且需接受胰島素衛教之糖尿病病人
- DA client with a scheduled wound dressing change for a non-infected incision預計進行未感染切口傷口換藥之病人
— Explanation · 中文詳解 —
護理師應依照 ABC（呼吸、循環、氣道）原則及疾病嚴重度分配人力。疑似肺栓塞且突發胸痛者，隨時可能惡化為生命徵象不穩，需要高度監測與緊急處置，必須交由資深護理師照護。其他選項如衛教、日常照護或常規換藥，皆屬較穩定之病人，可分配給較資淺人員。
The charge nurse should prioritize the client with suspected pulmonary embolism because this condition is a medical emergency that requires immediate assessment and potential stabilization. Following the ABC (Airway, Breathing, Circulation) principle, sudden chest pain and respiratory compromise take precedence over stable clients needing hygiene, discharge teaching, or routine wound care.
✦ 台美臨床差異
台灣病房常依床位區塊分派，但資深護理師仍傾向照顧狀況不穩或複雜的病人，這點與美國並無明顯差異。