— 照護管理 · MEDIUM · MCQ —
護理師執行下列哪項行動屬於逾越執業範圍？
Which of the following actions by a nurse is considered a violation of the scope of practice?
- ATeaching a client about side effects of prescribed medication衛教病人關於處方藥物的副作用
- BPerforming a diagnosis of a new skin lesion✓ 正解對新發皮膚病變進行診斷
- CChanging the dressing on a complex surgical wound per physician orders依照醫師醫囑為複雜外科傷口更換敷料
- DAdministering oral medication according to an established protocol根據既定協議給予口服藥物
— Explanation · 中文詳解 —
護理師的執業範圍（Scope of practice）嚴格限制在護理評估與執行醫囑護理。診斷疾病（Medical diagnosis）是醫師的專屬執業行為。護理師可以進行「護理診斷」（Nursing diagnosis），但不能對新出現的病灶進行醫療上的疾病診斷。其他選項如給藥、換藥、衛教，只要在醫囑範圍內，均為護理師合法執行之專業行為。
Making a medical diagnosis of a new skin lesion exceeds the nurse's scope of practice, as diagnosing diseases is the exclusive role of the physician. While nurses perform nursing diagnoses and can assess lesions, they cannot determine the medical etiology or disease state. Tasks such as administering medication, changing dressings per orders, and providing medication education are within the legal and professional boundaries of nursing practice.