護理師督導剛入職的護理師分配任務給輔助人員（UAP）。下列哪種行為顯示該護理師需要進一步指導？

在護理師監督剛入職護理師（newly licensed nurse）的臨床工作中，確保其理解並遵守「可授權原則」（Principle of Delegation）至關重要。輔助醫療人員（Unlicensed Assistive Personnel, UAP），例如護理助理（nursing assistant），其職責範圍受法律和機構政策的嚴格限制，僅能執行較為基礎、常規且不需專業判斷的照護任務。註冊護理師（Registered Nurse, RN）則負責評估、護理診斷、制定護理計畫、執行複雜的醫療處置，並監督 UAP 的工作。 此題情境要求識別出剛入職護理師可能出現的指導需求。選項 B 中，剛入職護理師將「對正在接受輸血的病人進行生命徵象的收集」這項任務授權給 UAP，這是不恰當的。原因在於，輸血過程具有潛在的風險，尤其是在輸血初期（前 15 分鐘），病人可能出現嚴重的過敏反應或溶血反應。這些反應可能表現為生命徵象的劇烈變化，需要由 RN 進行專業的評估與監測，以便及時做出反應。UAP 雖然可以測量生命徵象，但缺乏 RN 的臨床判斷能力來識別這些潛在的危險信號。因此，這項任務的授權顯示該護理師需要進一步的指導，以確保病人安全。

In supervising a newly licensed nurse's clinical work, it is critical to ensure that the nurse understands and follows the Principle of Delegation. Unlicensed Assistive Personnel (UAP), such as nursing assistants, have a scope of practice strictly defined by law and institutional policy and may only perform fundamental, routine care tasks that do not require professional judgment. The Registered Nurse (RN) is responsible for assessment, nursing diagnosis, formulation of the care plan, performance of complex procedures, and supervision of the UAP. This scenario requires identifying a learning need in the newly licensed nurse. In option B, the newly licensed nurse delegates collection of vital signs on a client receiving a blood transfusion to the UAP, which is inappropriate. The reason is that transfusion carries inherent risks, especially during the early phase (the first 15 minutes), when the client may develop severe allergic or hemolytic reactions. These reactions can manifest as dramatic changes in vital signs and require the RN's professional assessment and monitoring for timely response. Although the UAP can measure vital signs, they lack the RN's clinical judgment to identify these potential danger signals. Therefore, this delegation indicates that the nurse needs further teaching to ensure patient safety.