護理師監督助理護理員(UAP)照顧第二型糖尿病病人,下列哪項 UAP 的行為需要護理師立即介入?
A nurse is supervising an unlicensed assistive personnel (UAP) performing care for a client with type 2 diabetes. Which action by the UAP requires immediate intervention by the nurse?
- AThe UAP reports that the client requested an extra serving of fruit during breakfast助理護理員回報病人在早餐時要求額外一份水果
- BThe UAP assists the client with morning hygiene and makes the bed助理護理員協助病人進行晨間清潔並整理床鋪
- CThe UAP allows the client to ambulate to the bathroom without checking blood glucose levels✓ 正解助理護理員在未檢查血糖的情況下允許病人步行至廁所
- DThe UAP documents the client's intake and output on the flow sheet助理護理員在流程表上記錄病人的出入量
護理師委派(Delegation)任務給助理護理員(UAP)時,必須確保任務符合其職責範圍(Scope of practice)。糖尿病病人若未確認血糖值即進行活動,若發生低血糖(Hypoglycemia),後果可能嚴重。護理師需評估病人的安全性,UAP 不具備評估病況與臨床判斷的能力,因此在未確認血糖穩定前,不可讓其獨自進行需要體力的活動。
When a nurse delegates tasks to unlicensed assistive personnel (UAP), the task must fall within the UAP's scope of practice. If a diabetic client engages in activity without first verifying the blood glucose level, the consequences of hypoglycemia can be severe. The nurse must assess client safety; the UAP does not have the ability to assess the client's clinical condition or make clinical judgments, so until blood glucose stability is verified, the UAP should not allow the client to independently engage in activities requiring physical exertion.