護理長進行人力分配，下列哪項業務可指派給輔助人力（UAP）執行？

在醫療團隊中，護理師（Registered Nurse, RN）負責執行評估、診斷、計畫、執行和評值等複雜的護理職責。而輔助人力（Unlicensed Assistive Personnel, UAP），如護理助理（Nursing Assistant）或醫療助理（Medical Assistant），則在 RN 的監督下執行較為基礎、常規且可預測性的照護任務。護理長在進行人力分配（Assignment）時，必須根據各級人員的職責範圍（Scope of practice）來委派任務，以確保照護品質與病人安全。 選項 C 是正確的。為「病情穩定」（Stable client）的病人測量生命徵象（Obtaining vital signs）屬於例行性、非侵入性的護理技術。UAP 經過適當訓練後，可以執行此項任務，並將結果回報給 RN。RN 則負責進一步分析這些數據，並據此做出臨床判斷。 選項 D 是錯誤的。記錄病人對藥物的反應，特別是疼痛藥物，需要護理師進行臨床判斷和評估（Evaluation），例如評估疼痛改善程度、是否有副作用等。這屬於 RN 的範疇，不能委派給 UAP。 選項 A 是錯誤的。教導（Teaching）病人關於居家傷口照護屬於複雜的衛教範疇，需要 RN 評估病人的學習需求、理解能力，並制定和執行個別化的衛教計畫。UAP 僅能提供簡單的「提醒」或「協助」，不能執行正式的衛教。 選項 B 是錯誤的。評估（Evaluating）靜脈輸液推注（Fluid bolus）的有效性，需要 RN 具備專業知識來判斷病人的生理反應（如血壓、心輸出量、尿量變化等），這屬於 RN 的臨床判斷與評估範疇。

Within the healthcare team, the registered nurse (RN) is responsible for performing the complex nursing duties of assessment, diagnosis, planning, implementation, and evaluation. Unlicensed Assistive Personnel (UAP), such as nursing assistants or medical assistants, perform basic, routine, and predictable care tasks under the supervision of the RN. When making assignments, the charge nurse must delegate tasks according to each person's scope of practice to ensure quality of care and patient safety. Option C is correct. Obtaining vital signs for a stable client is a routine, non-invasive nursing skill. With appropriate training, UAP can perform this task and report the results to the RN. The RN is then responsible for further analyzing the data and making clinical judgments based on it. Option D is incorrect. Documenting a client's response to medication, especially pain medication, requires the nurse's clinical judgment and evaluation, such as assessing the degree of pain relief and whether side effects occurred. This falls within the RN's scope and cannot be delegated to UAP. Option A is incorrect. Teaching a client about home wound care is a complex educational task that requires the RN to assess the client's learning needs, comprehension, and to develop and implement an individualized teaching plan. UAP can only provide simple reminders or assistance and cannot perform formal patient education. Option B is incorrect. Evaluating the effectiveness of an IV fluid bolus requires the RN to use professional knowledge to judge the client's physiological response (such as blood pressure, cardiac output, urine output changes), which falls within the RN's clinical judgment and evaluation scope.