— 照護管理 · EASY · MCQ —
護理師監督助理人員（AP），下列哪項工作可適當分派？
A nurse is supervising an assistive personnel (AP). Which task is appropriate to delegate to the AP?
- AMeasuring the intake and output of a stable client✓ 正解測量穩定病人的出入量
- BTeaching a client about insulin injection sites衛教病人關於胰島素注射部位
- CCalculating the dosage for an IV antibiotic infusion計算靜脈抗生素輸注劑量
- DAssessing the bowel sounds of a postoperative client評估術後病人的腸鳴音
— Explanation · 中文詳解 —
護理人員只能將標準化、重複性且穩定的護理活動分派給輔助人員。記錄出入量（I&O）屬於基礎常規護理，且不涉及臨床評估與判斷。評估腸音、給予衛教及計算藥物劑量皆屬於護理師專屬的專業判斷與執行範圍，不可轉移。
Nurses may only delegate standardized, repetitive, and stable nursing activities to assistive personnel. Recording I&O is basic routine care not involving clinical assessment or judgment. Assessing bowel sounds, providing education, and calculating medication doses all fall within the professional judgment of the RN and cannot be delegated.
✦ 台美臨床差異
美國醫院常見護理輔助員（PCA/UAP）協助基礎照護；台灣由護理佐理員或家屬分擔類似工作，但在護理師督導責任上一致。