— 照護管理 · MEDIUM · MCQ —
護理師督導護佐（AP）執行照護，哪項動作需要護理師立即介入？
A nurse is overseeing an assistive personnel (AP) performing care. Which action by the AP requires immediate intervention by the nurse?
- AThe AP is providing oral care to a client who is unconscious護佐正在為意識不清的個案提供口腔照護
- BThe AP is ambulating a client with a history of falls護佐正在協助有跌倒史的個案步行
- CThe AP is documenting vital signs in the electronic medical record護佐正在電子病歷系統中記錄生命徵象
- DThe AP is adjusting the oxygen flow rate on a nasal cannula to 4L/min✓ 正解護佐正在將鼻導管的氧氣流量調整為4L/min
— Explanation · 中文詳解 —
護理師需明確區分護佐（AP）的執業範圍（Scope of practice）。AP 可協助執行已定義好的常規照護活動（如協助活動、記錄生命徵象、口腔照護），但所有涉及藥物劑量調整、醫療器材參數設定（如氧氣流量）、侵入性評估或臨床決策的行為，皆屬於註冊護理師（RN）的職責。調整氧氣流量涉及對病人呼吸狀況的評估，AP 不具此專業權限，執行此舉會帶來重大安全風險。
Adjusting oxygen flow rates involves clinical assessment and decision-making, which falls within the registered nurse's scope of practice rather than that of assistive personnel. While APs can perform routine tasks like oral care, ambulation assistance, and recording vital signs, they are not authorized to modify medical device settings or administer therapies.