護理師監督輔助人員（UAP）護理過程，哪項行為需要立即介入？
A nurse is supervising an unlicensed assistive personnel (UAP) performing care. Which action by the UAP requires immediate intervention?
- ATurning a stable client in bed every 2 hours每兩小時協助穩定的病人在床上翻身
- BFeeding a client who is currently receiving continuous tube feeding✓ 正解餵食正在接受連續管灌的病人
- CApplying a warm compress to a client's sore muscle as ordered依醫囑對病人痠痛肌肉敷熱
- DEmptying a urinary drainage bag and recording the output排空導尿管集尿袋並記錄尿量
護理師監督 UAP（輔助人員）時，必須確保其工作在許可範圍內（Scope of practice）。管灌飲食（Tube feeding）屬於侵入性護理，且涉及吸入性肺炎（Aspiration）的高風險，UAP 不得執行餵食管灌病人。正確的做法是護理師親自執行或評估後確認安全。其他選項如冷熱敷、翻身及監測尿量均屬於護理師可委任給 UAP 的常規照護內容。
When supervising unlicensed assistive personnel (UAP), the nurse must ensure that they work within their scope of practice. Tube feeding is considered an invasive nursing intervention with a high risk of aspiration; UAPs are not permitted to feed clients receiving tube feedings. The correct approach is for the nurse to perform the task personally or to verify safety after assessment. The other options, such as applying heat or cold, turning, and monitoring urine output, are routine care tasks that the nurse may delegate to a UAP.
在美國，委任（Delegation）遵循「五個權利」（Right Task, Circumstance, Person, Direction/Communication, Supervision）。管灌餵食的委任權限各州醫院政策略有差異，但在 NCLEX 考試中，這被視為護理師的專業責任。