# 護理長正在為四位案主分配工作。應將哪位案主分配給最有經驗的註冊護理師？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=397131&lang=zh-tw  
> language: zh-TW  
> subject: Assignment/Delegation/Supervision  
> category: MOC

## 題目

護理長正在為四位案主分配工作。應將哪位案主分配給最有經驗的註冊護理師？

## 選項

1. 一位肺炎、已退燒且正在走廊走動的案主。
2. 一位無併發症闌尾切除術後等待出院的案主。
3. 一位病情穩定的慢性腎病案主，預定明天接受透析。
4. 一位敗血症、新出現意識混亂且低血壓的案主。 **✔ 正確答案**

**正確答案: 4**

## 解析

有不穩定敗血症線索的案主需要頻繁評估、快速介入和經驗豐富的臨床判斷。病情穩定、需求可預測的案主，可在適當監督下分配給經驗較少的工作人員。病情嚴重度和不穩定性決定了分配的優先級。

## 深入解析

臨床判斷
使用案主線索、時間點、檢驗數據和安全風險，選擇最符合護理長分配優先級的回應。

記憶提示
將最強的線索群與最安全的護理判斷配對。

KR vs US
NCLEX 考題獎勵基於線索的優先思考，而非孤立的回憶。

## 臨床情境

臨床實踐指引
對於護理長分配優先級，將完整的線索模式與案主當前的穩定性、醫囑數據和預期的護理範圍進行比較。

注意
當完整情境改變了優先級或安全性時，不要根據單一孤立的線索選擇行動。

## 重要概念

- **病情嚴重度 (Acuity)** — 案主當前狀況的嚴重性與複雜性。
- **工作分配 (Assignment)** — 將案主照護責任分配給護理人員。
- **臨床判斷 (Clinical Judgment)** — 識別線索、分析線索並選擇安全行動的過程。

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