RN 正在分配任務。下哪種病患的情況，在基礎上明確允許將床邊擦澡 (bed bath) 常規且安全地交辦給無照護佐 (UAP)？（選所有適合的）
The RN is organizing care for a four-client assignment. Which specific client condition fundamentally allows for the routine safe delegation of a bed bath explicitly to the unlicensed assistive personnel (UAP)? (Select all that apply.)
- AA client accurately presenting with chronic, steady atrial fibrillation perfectly controlled securely on oral daily Diltiazem.✓ 正解慢性、穩定且口服每日 Diltiazem 完全控制的心房顫動病人
- BA violently shivering client diagnosed with profound systemic septic shock and plummeting blood pressure.診斷為嚴重全身性敗血性休克且血壓急遽下降、劇烈寒顫的病人
- CA client exactly 48 hours post-myocardial infarction awaiting routine discharge orders.✓ 正解心肌梗塞後 48 小時，等待常規出院指示的病人
- DA client suffering an active intense exacerbation of myasthenia gravis creating sudden swallowing crises.患有活動性重症肌無力急性加重期，造成突然吞嚮危機的病人
- EA deeply lethargic client newly admitted entirely with an unprecedented severe massive left-hemisphere ischemic stroke.新入院、深度嗜睡且患有前所未有的嚴重左半球缺血性中風的病人
本題測驗 UAP 分配。給 UAP 洗澡的條件必須是病患「生理狀態穩固且可預期 (Stable and predictable)」。選項 A 的心房顫動是長期慢性的，而且用口服藥控制完美，非常穩定。選項 C 心肌梗塞後已經過了 48 小時，且等待常規出院，表示已經度過危險期，屬於穩定的恢復期。選項 B 敗血性休克、選項 D 急性重症肌無力發作、選項 E 剛發生的嚴重中風，全部都是隨時會心跳停止或呼吸衰竭的極度不穩定重症，在洗澡搬動中極易引發猝死，絕對必須由 RN 親自執行高階評估性護理洗澡。
This item assesses delegation to UAP. The criterion for assigning a bath to a UAP is that the client must be physiologically stable and predictable. In option A, the atrial fibrillation is long-standing and well controlled with oral medication, making the client very stable. In option C, the client is 48 hours post–myocardial infarction and awaiting routine discharge, indicating that the acute danger has passed and the client is in a stable recovery phase. Options B (septic shock), D (acute myasthenic crisis), and E (a fresh, severe stroke) all represent extremely unstable critical conditions in which cardiac arrest or respiratory failure could occur at any time. Manipulation during bathing could easily precipitate sudden death, so a high-level assessment bath must be performed personally by the RN.
洗澡 (Bed bath) 在所有科別都是給護佐 (UAP/CNA) 做的，『例外』就是正在發作中的急診、ICU 重症病人，這類病患翻身洗澡會斷血壓，必須 RN 親自顧。