護理長在忙碌的病房中，哪項工作最適合委派給輔助人員（UAP）？
A charge nurse is managing a busy unit. Which task is most appropriate to delegate to an Unlicensed Assistive Personnel (UAP)?
- AFeeding a client who has a history of dysphagia餵食有吞嚥困難病史的病人
- BAssisting a postoperative client with ambulation for the first time協助術後病人首次步行
- CReapplying a peripheral IV dressing that is peeling重新貼附剝落的周邊靜脈留置針敷料
- DMeasuring and recording the hourly urine output of a client on a diuretic✓ 正解測量並記錄利尿劑病人的每小時尿量
委派（Delegation）遵循五項權利（Five Rights of Delegation）。記錄尿量屬於常規數據蒐集，不涉及臨床判斷，適合委派給輔助人員（UAP）。其他選項如首次下床（涉及跌倒風險評估）、餵食吞嚥困難病人（涉及誤吸風險與護理評估）、處理侵入性導管敷料（涉及感染控制與無菌技術），皆屬於護理師的專業職責，不得委派。
Delegation follows the Five Rights of Delegation. Recording urine output is routine data collection that does not involve clinical judgment and is appropriate to delegate to unlicensed assistive personnel (UAP). The other options, including the first time out of bed (which involves assessment of fall risk), feeding a patient with dysphagia (which involves the risk of aspiration and nursing assessment), and changing the dressing of an invasive catheter (which involves infection control and aseptic technique), all fall within the nurse's professional responsibilities and may not be delegated.
美國醫院中 UAP（包括 CNA/PCT）的角色定義非常明確。護理師需確保委派的任務在 UAP 的職責範圍（Scope of Practice）內，且護理師需對最終結果負法律責任。