指定的護理長正在準備下個班的分配。將下列哪位病患委派給無照護佐 (UAP) 是最安全的？
The designated charge nurse is preparing assignments for the upcoming shift. Which client is the safest to delegate strictly to an unlicensed assistive personnel (UAP)?
- AA client requiring continuous advanced IV heparin adjustments based entirely on hourly aPTT laboratory draws.完全依賴每小時 aPTT 檢驗結果，需要持續調整靜脈注射肝素的病人
- BA client admitted two hours ago with a suspected DVT experiencing a massive new pulmonary embolism.兩小時前因疑似深層靜脈血栓入院，現正經歷大規模新發肺栓塞的病人
- CA client exactly 48 hours post-myocardial infarction awaiting routine discharge papers needing transport to the exit.✓ 正解心肌梗塞後剛好 48 小時，等待常規出院文件並需轉送至出口的病人
- DA client requiring routine prophylactic barrier cream explicitly applied deeply into an infected pressure ulcer.需要常規預防性屏障霜，但明確需深入塗抹於感染性壓力性潰瘍的病人
本題測驗 UAP 委派安全度。UAP (護佐) 只能接手『穩定、可預測 (predictable)』的工作。選項 C 病患心肌梗塞發作已過 48 小時，目前在等出院文件，屬於全區最穩定的病患之一，將其用輪椅推至出口 (transport to exit) 完美契合 UAP 職責。選項 D 將藥膏塗進『已感染(infected)』的壓瘡屬於給藥與無菌護理，UAP 禁止執行。選項 A 與 B 都是高度不穩定重症。
This question tests the safety of UAP delegation. UAPs may only accept tasks that are stable and predictable. The client in option C suffered a myocardial infarction 48 hours ago and is now waiting for discharge papers—one of the most stable clients on the unit—and transporting them by wheelchair to the exit perfectly fits the UAP scope. Option D involves applying ointment into an actively infected pressure ulcer, which is a medication administration and aseptic nursing procedure that UAPs are prohibited from performing. Options A and B are both highly unstable critical conditions.
UAP 護佐的完美工作：穩定病患的基本庶務 (推輪椅、量血壓、倒尿)。