護理師為術後病人規劃照護計畫，下列哪些行動能確保病人安全？（選所有適合的）
A nurse is planning care for a client who is post-operative. Which actions are appropriate to ensure client safety? (Select all that apply.)
- AVerify the patient's identity using two identifiers✓ 正解使用兩項識別資料確認病人身份
- BConduct a thorough pain assessment every 4 hours✓ 正解每 4 小時進行全面性疼痛評估
- CImplement fall precautions immediately✓ 正解立即實施防跌倒 precautions
- DDelegate all documentation to the UAP將所有文書紀錄工作委派給護理助理人員 (UAP)
- EEnsure the call light is within reach✓ 正解確保呼叫鈴在病人可及範圍內
術後照護的核心在於預防併發症及確保病人安全。護理師需透過標準化作業流程（Standardized protocols）來降低人為錯誤，如執行病人辨識、落實預防跌倒措施及確保環境安全。疼痛評估對術後復原至關重要，能有效促進早期活動、減少肺部併發症（如肺塌陷）。護理紀錄則涉及法律責任，不可委派給非護理專業人員。
The core of postoperative care is preventing complications and ensuring client safety. The nurse must follow standardized protocols to reduce human error, including verifying patient identity, implementing fall precautions, and ensuring environmental safety. Pain assessment is critical to postoperative recovery, as it facilitates early mobilization and helps prevent pulmonary complications such as atelectasis. Nursing documentation carries legal accountability and cannot be delegated to unlicensed personnel.
美國醫院非常嚴格執行「Delegation」原則，NCLEX 考試中，紀錄（Documentation）、評估（Assessment）與教導（Teaching）永遠是護理師的不可下放職責（EAT: Evaluation, Assessment, Teaching）。台灣臨床偶有護理助理協助記錄生命徵象，但在美國這屬於違規。