# 一名產後病房的護理師被調派到內外科病房。哪一項工作指派最為適當？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=394110&lang=zh-tw  
> language: zh-TW  
> subject: Assignment/Delegation/Supervision  
> category: MOC

## 題目

一名產後病房的護理師被調派到內外科病房。哪一項工作指派最為適當？

## 選項

1. 一位有胸痛及新發生 ST 段變化的個案
2. 一位剛接受氣管造口術、需要頻繁抽痰的個案
3. 一位正在接受滴定血管活性藥物輸注的個案
4. 一位在無併發症闌尾切除術後等待出院的穩定個案 **✔ 正確答案**

**正確答案: 4**

## 解析

被調派的護理師應接收需求符合其能力、且盡可能為穩定且可預期的照護個案。病情穩定的術後準備出院病人是最安全的選擇。新造口氣切照護、血管活性藥物滴注的調節，以及急性心臟變化，皆需專業或高度急性照護能力。

## 深入解析

臨床判斷
安全的指派需將個案嚴重度與護理師能力相匹配。

記憶提示
調派護理師：穩定且可預測。

## 臨床情境

臨床實務指引
指派決策需考量嚴重度、穩定性、所需技能、監督及人員能力。

注意事項
調派並不意味著指派超出安全能力的任務。

## 重要概念

- **嚴重度** — 個案照護需求的嚴重性與複雜度。
- **能力** — 基於知識、技能和經驗，安全執行任務的能力。
- **指派** — 將個案照護責任分配給護理人員。

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