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 on an asthmatic client reporting sudden severe shortness of breath.為主訴突然嚴重呼吸困難之氣喘病患測量血氧飽和度
- BFeeding a pureed diet to a client who suffered a stroke 3 days ago and has passed a bedside swallow evaluation.✓ 正解餵食三日前中風且已通過床邊吞嚥評估病患之泥狀飲食
- CAmbulating a 70-year-old client down the hall who is post-operative from a hip arthroplasty for the very first time.協助髖關節置換術後首次下床走廊行走之70歲病患
- DMeasuring vital signs accurately and recording intake and output for a stable client receiving IV fluids.✓ 正解準確測量接受靜脈輸液之穩定病患之生命徵象並記錄輸出入量
- EApplying hydrocortisone barrier cream broadly to an elderly client's excoriated red sacral rash.廣泛塗抹氫化可體松屏障乳膏於老年病患擦紅之薦骨皮疹處
本題測驗 UAP (無照護佐) 的精確委派。UAP 兩大黃金鐵律：1. 不涉及護理評估。 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)。選項 B 中，病患中風後已經通過了吞嚥評估 (Passed swallow eval)，這屬於基礎的生活活動 (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 最核心的任務。選項 A 錯誤，突然發作的呼吸困難需要 RN 評估。選項 C 錯誤，術後第一次下床極易昏厥，必須由 RN 或 PT 隨行。選項 E 塗抹有藥效的乳膏是一種給藥行為，UAP 絕對禁止給藥。
Unlicensed assistive personnel (UAP) can safely perform routine tasks for stable clients, such as feeding a patient who has already passed a swallow evaluation and measuring vital signs for a client on stable IV fluids. Tasks involving unstable patients, such as those with acute respiratory distress or those undergoing their first postoperative ambulation, require the clinical judgment of a registered nurse. Additionally, applying medicated creams is considered a pharmacological intervention prohibited for UAPs.
委派護佐永遠記住不能包含「EAT」：Evaluate(評估)、Assess(觀察判斷)、Teach(衛教)。且各種第一次 (First time) 絕對不能給 UAP。