外科護理長正在審視工作分派。下列哪項任務需要註冊護理師的專業知識與臨床判斷，不可委派？
A surgical charge nurse is reviewing task assignments. Which task requires the specialized knowledge and clinical judgment of a registered nurse (RN) and cannot be delegated?
- ADocumenting routine vital signs and emptying a Foley catheter drainage bag.記錄常規生命徵象並排空福留氏導尿管集尿袋。
- BAssisting a stable post-op client to a bedside chair.協助穩定的術後病人坐至床邊椅。
- CAdministering oral acetaminophen to a stable client reporting mild incisional pain.對主訴輕微切口疼痛之穩定病人施予口服乙醯胺酚。
- DProviding detailed preoperative education to an anxious client scheduled for high-risk pancreatectomy.✓ 正解對擬接受高風險胰臟全切除術且感到焦慮的病人提供詳細的術前衛教。
委派原則（Five Rights of Delegation）規定：需要評估、判斷、衛教或無菌技術的任務必須由 RN 親自執行。 選項 D 正確：高風險手術的術前衛教需要 RN 評估病人理解度、解釋手術風險、回答問題、建立信任 — 屬於專業護理範疇，不可委派。 選項 C：給穩定病人口服止痛藥可由 LPN 執行。 選項 A：測量生命徵象、倒尿袋是 UAP 標準工作。 選項 B：協助穩定病人下床是 UAP 工作。
Delegation principles require that tasks involving assessment, judgment, teaching, or sterile technique be performed by an RN. D is correct: Preoperative education for a high-risk surgery requires the RN to assess understanding, explain risks, answer questions, and build rapport—professional nursing scope, not delegable. A: Administering routine PO medications to stable clients can be done by LPN. C: Vital signs and emptying Foley bags are standard UAP tasks. D: Assisting a stable client to a chair is a UAP task.
Teaching (衛教) 只要出現在選項裡，就是 RN 的強項與專責。