外科病房護理師管理繁重的病患名單。哪項基本任務必須具備專屬於註冊護理師 (RN) 的專科專業知識與批判性判斷？（選所有適合的）
A surgical unit nurse manages a heavy patient load. Which essential task requires the specialized professional knowledge and critical judgment exclusive to the registered nurse (RN)? (Select all that apply.)
- AAdministering oral acetaminophen to a client actively reporting minor joint pain.對主動報告輕微關節疼痛的病人給予口服乙醯胺酚
- BProviding detailed comprehensive preoperative teaching to a client scheduled for a pancreatectomy tomorrow.✓ 正解為明天安排胰臟全切除術的病人提供詳細的全面術前衛教
- CCalculating and adjusting an active continuous intravenous heparin infusion based on recent lab results.✓ 正解根據最近的檢驗結果計算並調整活性連續靜脈肝素輸注
- DDocumenting routine intake and output on ten completely stable clients simultaneously.同時記錄十位完全穩定的病人的常規攝入量和排出量
- EEvaluating the deeply changing complex breath sounds of a severe asthmatic post-treatment.✓ 正解評估嚴重哮喘病人在治療後深層且複雜的呼吸音變化
本題測驗 RN 的『獨佔範圍 (Exclusive Scope of Practice)』。RN 獨佔的三大領域：EAT (評估 Evaluate、診斷 Assessment、衛教 Teaching)，以及高危險 IV 藥物推注。選項 B 是全面的術前衛教 (Teaching)。選項 C 是根據實驗室數據來計算調整高危險點滴 (Evaluate/IV meds)。選項 E 是評估肺音的變化 (Assessment)。這三項絕對不能委派。選項 A 可以給 LPN。選項 D 是勞力活，完美適合 UAP 護佐。
This question tests the RN's exclusive scope of practice. The three areas exclusive to the RN are EAT (Evaluation, Assessment, Teaching), as well as administration of high-risk IV medications. Option B is comprehensive preoperative teaching. Option C involves calculating and adjusting a high-risk infusion based on laboratory data (evaluation/IV medications). Option E involves assessing changing breath sounds (assessment). These three tasks absolutely cannot be delegated. Option A may be given to an LPN. Option D is labor work and is perfectly appropriate for a UAP.
衛教 (Teaching) 與追蹤療效 (Evaluation) 永遠是 RN 執照的神聖不可侵犯領域。