— 照護管理 · HARD · SATA —
下列哪幾位病人應分配給最有經驗的護理師？（選所有適合的）
Which of the following clients should be assigned to the most experienced nurse? (Select all that apply.)
- AA client admitted with unstable status post-myocardial infarction✓ 正解因心肌梗塞後狀態不穩而入院的病人
- BA client needing education on insulin self-administration需要教育胰島素自我注射方法的病人
- CA client experiencing complex withdrawal symptoms from alcohol✓ 正解出現複雜酒精戒斷症狀的病人
- DA client with an uncomplicated fracture of the ankle單純性踝關節骨折的病人
- EA client requiring titration of vasopressors✓ 正解需要調整血管收縮劑給藥的病人
— Explanation · 中文詳解 —
最有經驗的護理師應照護處於病理不穩定、病情複雜或需要高度監測與判斷的病人。心肌梗塞後不穩定、酒精戒斷症候群（伴隨意識改變、癲癇風險）與使用升壓劑需頻繁評估調整，皆屬高 acuity，需資深護理師執行。
The most experienced nurse should be assigned to clients with unstable conditions, complex pathologies, or those requiring advanced clinical judgment and frequent monitoring. This includes clients with unstable post-myocardial infarction status, complex alcohol withdrawal symptoms, and those requiring vasopressor titration. Routine care tasks, such as insulin education or managing uncomplicated fractures, can be safely delegated to less experienced nurses.
✦ 台美臨床差異
台灣病房常依床數分配，資深護理師有時需同時擔負指導角色，美國則依 Acuity 分配人力。