護理師正在監督一位新進護理師進行工作分派，下列哪項工作適合指派給照服員（NA）？
A nurse is supervising a newly licensed nurse who is delegating tasks. Which task is appropriate for the nursing assistant (NA) to perform?
- AFeeding a client who has dysphagia and is at risk for aspiration餵食有吞嚥困難且有誤吸風險的病人
- BAmbulating a client on the first postoperative day after an abdominal surgery協助腹部手術後第一天病人散步
- CEducating a client on the side effects of newly prescribed antihypertensive medication教育病人關於新開立抗高血壓藥物的副作用
- DMeasuring intake and output for a client with a continuous bladder irrigation✓ 正解測量持續膀胱沖洗病人的出入量
依護理委派原則，NA（Nursing Assistant）可執行常規、非侵入性、不需臨床判斷的工作。A. 測量 I&O 屬於資料收集（data collection），即使病人在進行膀胱沖洗（CBI），記錄出入量仍屬於 NA 範圍（沖洗速率調整與評估才屬於 RN）。其他選項：A. 吞嚥困難病人有誤吸風險，需專業評估與監測，不可委派；C. 術後 day 1 首次下床需 RN 先評估生命徵象、疼痛、傷口與引流管狀況，不應交由 NA 獨立執行；D. 藥物衛教需臨床判斷與個別化評估，必須由 RN 執行。
According to the principles of nursing delegation, the NA (nursing assistant) can perform routine, non-invasive tasks that do not require clinical judgment. Option D: Measuring I&O is data collection, and even though the client is receiving continuous bladder irrigation (CBI), recording intake and output remains within the NA's scope (adjusting the irrigation rate and assessment belong to the RN). The other options: B. A dysphagic client has aspiration risk and requires professional assessment and monitoring; this cannot be delegated. C. First postoperative day ambulation requires the RN to first assess vital signs, pain, wound, and drains; it should not be independently performed by an NA. D. Medication education requires clinical judgment and individualized assessment and must be performed by the RN.
美國護理機構對 NA 的職權明確定義；台灣病房多由照服員協助，但護理師需負最終評估責任。