— 照護管理 · EASY · MCQ —
護理師正在督導一位助理護理人員（UAP），下列哪項工作適合授權給 UAP？
A nurse is supervising an Unlicensed Assistive Personnel (UAP). Which task is appropriate for the nurse to delegate to the UAP?
- AAdministering oral medications to a stable patient對穩定病人施用口服藥物
- BEducating a client on the side effects of a new antihypertensive medication對客戶進行新抗高血壓藥物副作用的衛教
- CPerforming a sterile dressing change on a central line執行中心導管的無菌敷料更換
- DObtaining routine vital signs for a stable postoperative client✓ 正解測量穩定之術後病人的常規生命徵象
— Explanation · 中文詳解 —
護理授權原則（Five Rights of Delegation）規定，UAP 僅可執行預測性高、低風險的常規性照護工作。測量生命徵象屬於常規數據收集；給藥、無菌操作與衛教皆屬於專業護理判斷範疇，不得授權。
Under the Five Rights of Delegation, a UAP may only perform predictable, low-risk, routine care tasks. Obtaining vital signs is routine data collection, while medication administration, sterile procedures, and patient education fall within the scope of professional nursing judgment and cannot be delegated.
✦ 台美臨床差異
美國 UAP 工作範圍明確；台灣護理輔助人員（病房助理）角色定義較彈性，但執行醫療行為仍受嚴格法規限制。