— 照護管理 · EASY · MCQ —
護理師在內外科病房工作，將任務交辦給護理助理（UAP）。下列哪項任務最適合交辦給 UAP？
A nurse is working in a medical-surgical unit and is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which task is most appropriate to delegate to the UAP?
- AAssisting a client who is two days postoperative with ambulation in the hallway✓ 正解協助術後兩天的病人在走廊行走
- BMeasuring the intake and output of a client with a new nephrostomy tube測量患有新腎造廔管病人的出入量
- CEducating a client on the proper use of an incentive spirometer教育病人如何使用誘發性肺量計
- DEvaluating the skin integrity around an incision site for signs of infection評估切口周圍皮膚完整性以確認感染跡象
— Explanation · 中文詳解 —
根據護理專業授權原則（Five Rights of Delegation），UAP 可執行常規性、穩定性高的護理活動。協助病人下床活動（Ambulation）屬於常規活動。B 選項包含新置入管路，評估風險較高；D 和 C 皆涉及護理師的專業評估與衛教職責，不可交辦。
According to the Five Rights of Delegation, UAP can perform routine, stable care activities. Assisting a client with ambulation is a routine task. Option B involves a newly inserted catheter and carries higher risk; options D and C involve professional nursing assessment and patient education and cannot be delegated.
✦ 台美臨床差異
美國 UAP 權限廣泛；台灣醫院多由護佐或照服員執行，但評估任務需嚴格保留給護理師。