註冊護理師 (RN) 正在為內科病房中四名病患的指派工作進行組織。下列哪一項行動展現了將任務最恰當地交辦給無照護佐 (UAP) 的作法？（選所有適合的）
The RN is organizing care for a four-client assignment on a medical unit. Which action demonstrates the most appropriate delegation of a task to the unlicensed assistive personnel (UAP)? (Select all that apply.)
- AObtaining a pulse oximetry reading to aggressively evaluate a fresh asthmatic client reporting sudden severe shortness of breath.測量血氧飽和度以積極評估主訴突然嚴重呼吸困難的新發哮喘病人
- BFeeding a pureed diet completely to a client who suffered a stroke 3 days ago and has successfully passed a rigorous bedside swallow evaluation.✓ 正解完全餵食一位三天前中風且已成功通過嚴格的床邊吞嚥評估、食用泥狀飲食的病人
- CAmbulating a 70-year-old client down the hall who is exactly 12 hours post-operative from a total hip arthroplasty for the very first time.陪同一位全髖關節置換術後 12 小時的 70 歲病人首次沿走廊行走
- DMeasuring vital signs accurately and recording strict strict intake and output for an acutely stable client receiving routine IV fluids.✓ 正解準確測量接受常規靜脈輸液的急性穩定病人的生命徵象，並嚴格記錄出入量
- EApplying prescribed over-the-counter hydrocortisone barrier cream broadly to an elderly client's newly discovered excoriated red sacral rash.廣泛塗抹處方非處方氫化可的松屏障霜於一位老年病人新發現的擦傷紅斑薦骨部位
本題測驗 UAP (無照護佐) 的精確任務委派。UAP 的交辦兩大黃金鐵律：1. 不涉及護理評估 (No assessments)。 2. 病患必須處於「慢性穩定 (Chronic stable)」狀態，絕不能是急性或具不可預期風險 (First-time / Acute instability) 的情況。選項 B 中，病患中風後已經通過了嚴格的吞嚥評估 (Passed swallow eval)，代表他目前進食沒有立即的噎住/吸入風險，這屬於基礎的日常生活活動 (ADL)，完美適合 UAP 餵食。選項 D 針對穩定的病患測量生命徵象與記錄 I/O，是 UAP 最標準的核心常規任務。選項 A 錯誤，這個氣喘病患出現了全新的急速呼吸困難，這是致命急性變化，必須由 RN 親自測量並評估血氧。選項 C 錯誤，任何手術後的『第一次 (first time)』下床活動，病患摔倒與昏厥的風險極高，必須由 RN 或物理治療師執行。選項 E 即使是成藥藥膏 (OTC cream)，給藥依然是 UAP 的絕對禁區，且全新發現的紅疹是由 RN 先行評估的。
Unlicensed assistive personnel (UAP) may feed a client who has already passed a swallowing evaluation and is physiologically stable, as this is a routine activity of daily living. UAPs can also measure vital signs and record intake and output for stable clients. However, they should not assess unstable patients, perform first-time postoperative ambulation, or administer any medications, including topical creams.
委派護佐 (Delegation to UAP)：永遠記住不能包含「EAT」：Evaluate(評估)、Assess(觀察判斷)、Teach(衛教)。另外，任何程序的「第一次 (First time)」一律由護理師親自執行。