— 藥理與非經腸給藥 · MEDIUM · MCQ —
護理師在病房發藥，下列哪項任務可交由輔助人員（UAP）執行？
A nurse is administering medications to clients in a medical-surgical unit. Which of the following tasks can be delegated to an Unlicensed Assistive Personnel (UAP)?
- ADetermining the effectiveness of an antiemetic判斷止吐藥的療效
- BReporting a client's request for pain medication✓ 正解回報病人要求止痛藥
- CMonitoring the infusion site for infiltration監測輸注部位是否有滲漏
- DCalculating the dosage of a pediatric infusion計算小兒輸注藥物劑量
— Explanation · 中文詳解 —
護理程序的評估、診斷、計畫與評價皆為護理師專業職責。UAP 可協助進行觀察（如回報病人需求），但不可執行專業判斷。監測靜脈輸注滲漏（C）、評估止吐藥效果（A）以及劑量計算（D）均涉及臨床判斷，屬護理師職責範圍。
Assessment, diagnosis, planning, and evaluation in the nursing process are all professional responsibilities of the nurse. UAPs can assist with observation (such as reporting patient needs) but may not exercise professional judgment. Monitoring an IV infusion for infiltration (C), assessing the effect of an antiemetic (A), and calculating doses (D) all involve clinical judgment and fall within the nurse's scope of practice.
✦ 台美臨床差異
美台對 UAP（台灣類似照服員或病房助理）的職權界定相似，皆嚴禁執行專業給藥與評估。