— 照護管理 · EASY · MCQ —
護理長正在進行病房護理人力分配，下列哪位病人最適合指派給剛取得證照的新進護理師？
A charge nurse is planning assignments for a medical-surgical unit. Which client is most appropriate to assign to a newly licensed registered nurse?
- AA 55-year-old client who has returned from a total hip replacement 2 hours ago一位55歲、兩小時前剛完成全髖關節置換術的客戶
- BA 45-year-old client with type 2 diabetes who is scheduled for discharge education✓ 正解一位45歲、預約進行出院衛教的第二型糖尿病客戶
- CA 70-year-old client with suspected sepsis receiving IV vasoactive medications一位70歲、正在接受靜脈血管活性藥物治療的疑似敗血症客戶
- DA 62-year-old client with an unstable cardiac dysrhythmia requiring continuous monitoring一位62歲、需要持續監測之不穩定性心臟心律不整客戶
— Explanation · 中文詳解 —
人力指派（Assignment）遵循「病況穩定度」原則。新進護理師（Newly licensed RN）應優先照顧病情穩定、預測性強且護理程序標準化的病人。糖尿病衛教屬於健康指導，病人生命徵象穩定，是培養新護理師臨床溝通與衛教能力的良好選擇。相反地，心律不整、術後急性恢復期、敗血症休克等病人，病情變化極快，需要高度的評估與臨床判斷，必須由資深護理師負責。
A newly licensed nurse should be assigned stable clients with predictable needs, such as a diabetic patient scheduled for discharge education. High-acuity patients, including those with recent surgery, suspected sepsis, or unstable cardiac dysrhythmias, require the advanced assessment skills and clinical judgment of experienced nurses.