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照護管理 · EASY · MCQ

護理師委派任務給輔助人員(AP),下列何者合適?

A nurse is delegating tasks to an Assistive Personnel (AP). Which task is appropriate for the AP?

  • ACalculating the intake and output for a client with heart failure
    計算心衰竭病人的攝取量與排出量
  • BMonitoring the infusion site for signs of infiltration
    監測靜脈注射部位是否有浸潤跡象
  • CAssisting a stable client with ambulation✓ 正解
    協助狀況穩定的病人下床活動
  • DEducating the family about the importance of medication adherence
    向家屬衛教藥物順從性的重要性
Explanation · 中文詳解

委派任務(Delegation)必須符合五大原則(Right task, circumstance, person, direction, supervision)。協助活動屬於常規性照護,是輔助人員(AP)的執業範疇,對於穩定的病人是合適的任務。專業評估、衛教、監測異常等皆涉及護理判断(ADPIE),必須由註冊護理師執行。

Delegation must follow the five rights (right task, circumstance, person, direction, and supervision) and must remain within the AP's scope of practice. Assisting with ambulation is a routine care activity within the AP's scope and is an appropriate task for a stable client. Professional assessment, teaching, and monitoring for abnormalities involve nursing judgment (ADPIE) and must be performed by the registered nurse.

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