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照護管理 · EASY · MCQ

護理師正在內外科病房分配任務,下列哪項任務適合交辦給護理佐理員(UAP)?

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

  • AEvaluating the skin integrity of a client with a stage 2 pressure ulcer
    評估患有二期壓瘡之病人的皮膚完整性
  • BTeaching a client about the side effects of their new medication
    教育病人關於其新藥物的副作用
  • CAssessing the lung sounds of a client with pneumonia
    評估肺炎病人的肺部呼吸音
  • DMeasuring the intake and output of a client with renal failure✓ 正解
    測量腎衰竭病人的出入量
Explanation · 中文詳解

護理任務交辦(Delegation)必須遵循「五個權利(Five Rights of Delegation)」。護理佐理員(UAP)的職責範圍僅限於常規性、重複性、不需要專業判斷或評估的操作。測量攝入與排出量(I&O)屬於數據收集,是 UAP 可執行的任務。而評估皮膚完整性、衛教用藥知識、評估肺部呼吸音皆屬於護理師的專業評估與教學範疇,不可交辦。

Delegation in nursing practice must follow the Five Rights of Delegation. The scope of unlicensed assistive personnel (UAP) is limited to routine, repetitive tasks that do not require professional judgment or assessment. Measuring intake and output (I&O) is a data-collection activity that falls within the UAP's scope. In contrast, assessing skin integrity, providing medication teaching, and evaluating lung sounds all involve professional nursing assessment and education and cannot be delegated.

✦ 台美臨床差異

美國護理教學強調「評估(Assessment)不能委派」。台灣臨床中偶見護理師交辦測量生命徵象或基礎檢查,但在 NCLEX 考試中,必須嚴格區分「收集數據(UAP可)」與「評估數據(RN專屬)」。

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