NurslixJournal
照護管理 · EASY · MCQ

護理師在內外科病房分配工作。下列哪項任務最適合委派給輔助人員(UAP)?

A nurse is assigning tasks in a medical-surgical unit. Which task is most appropriate to delegate to an Unlicensed Assistive Personnel (UAP)?

  • AObtaining a clean-catch midstream urine specimen from a client with a suspected urinary tract infection
    從疑似泌尿道感染的病人處取得中段清潔尿液檢體
  • BAssisting a client who is two days postoperative with a total hip arthroplasty to transfer to a chair✓ 正解
    協助全髖關節置換術後兩天的病人轉移至椅子
  • CMeasuring and recording the intake and output of a client with a continuous bladder irrigation
    測量並記錄接受連續膀胱沖洗病人的出入量
  • DFeeding a client who has been diagnosed with dysphagia and is at risk for aspiration
    餵食被診斷為吞嚥困難且有吸入風險的病人
Explanation · 中文詳解

護理委派的核心原則為:依據輔助人員的能力範圍(Scope of Practice),委派穩定、常規且不需專業判斷的任務。術後兩天的髖關節置換病人,輔助人員協助轉位(Transfer)屬於其技能範疇。C 項涉及連續性膀胱沖洗,需評估沖洗液顏色與引流量異常;A 項需無菌技術採集;D 項涉及吞嚥困難病人的安全性,皆需護理師操作以確保病患安全。

The core principle of nursing delegation is: delegate stable, routine tasks that do not require professional judgment, within the scope of practice of the assistive personnel. Assisting with transfer for a postoperative day 2 hip arthroplasty client falls within the UAP's skill set. Option C involves continuous bladder irrigation, which requires assessment of irrigation fluid color and abnormal drainage; Option A requires sterile technique for specimen collection; Option D involves the safety of a dysphagic client. All three require the nurse to perform the task to ensure patient safety.

✦ 台美臨床差異

美國 UAP 職責定義明確;台灣因護理人力緊縮,照顧服務員有時會執行超出職責的任務,需透過標準化教育建立護理師委派認知。

Related · 同分類的其他題目

More from Management of Care

瀏覽全部 1,949 題 照護管理 →
Jump to another chapter