— 照護管理 · MEDIUM · MCQ —
護理長正在監督一位輔助人員（UAP），下列哪項行為需要護理師立即介入？
A nurse manager is supervising an unlicensed assistive personnel (UAP). Which action by the UAP requires immediate intervention by the nurse?
- AReporting a change in a client's wound drainage color報告病人傷口滲出液顏色變化
- BFeeding a client who has been diagnosed with dysphagia✓ 正解餵食被診斷為吞嚥困難的病人
- CAssisting a client with a stroke to ambulate to the bathroom協助中風病人步行至廁所
- DMeasuring the vital signs of a client returning from surgery測量從手術室返回之病人的生命徵象
— Explanation · 中文詳解 —
吞嚥困難（Dysphagia）病人有極高的吸入性肺炎風險。餵食屬於需要專業評估與技術的照護，包含調整姿勢、食物質地與監測有無嗆咳跡象。輔助人員（UAP）不具備評估吞嚥能力的專業知識，若餵食不當會造成嚴重安全威脅，故護理師不得委派此任務。其他選項（測量生命徵象、協助行走、報告觀察結果）皆屬於常規輔助範圍，適合委派。
Feeding a client with dysphagia requires specialized assessment and skills to prevent aspiration, which poses a serious safety threat. Unlicensed assistive personnel lack the clinical judgment to evaluate swallowing ability or manage food textures safely. Therefore, this task is outside their scope of practice and requires immediate intervention by the nurse.