— 照護管理 · EASY · SATA —
護理師正與輔助人員（UAP）合作，下列哪些任務可以授權給 UAP？（選所有適合的）
A nurse is working with an Unlicensed Assistive Personnel (UAP). Which tasks should the nurse delegate to the UAP? (Select all that apply.)
- AObtaining a client's morning weight✓ 正解測量病人的晨間體重
- BAssisting a stable client with bathing✓ 正解協助穩定的病人洗澡
- CCalculating a client's 24-hour fluid balance計算病人24小時的液體平衡
- DDocumenting hourly urine output for a client with a catheter✓ 正解記錄導尿管病人的每小時尿量
- EFeeding a client who has a risk of aspiration餵食有吸入風險的病人
— Explanation · 中文詳解 —
授權原則依據穩定度與任務性質。測量體重、協助洗澡及記錄數據屬於日常護理活動（ADLs），適合 UAP。C 選項涉及臨床數據計算與判讀，屬於護理評估範疇。E 選項有高度吸入性肺炎風險，需要專業評估或護理人員親自執行。
Delegation is based on client stability and the nature of the task. Measuring weight, assisting with bathing, and recording data fall under routine activities of daily living (ADLs) and are appropriate for the UAP. Option C requires clinical data calculation and interpretation, which is part of nursing assessment. Option E carries a high risk of aspiration and requires professional assessment or direct execution by a licensed nurse.
✦ 台美臨床差異
台灣稱 UAP 為照服員，工作範圍較美國明確且受法規限制，但兩者皆強調不可委託涉及『評估』或『診斷』的項目。