— 照護管理 · MEDIUM · MCQ —
護理師監督助理護理人員（UAP）進行晨間護理，哪項操作需要護理師立即介入？
A nurse is supervising an unlicensed assistive personnel (UAP) performing morning care. Which action by the UAP requires immediate intervention by the nurse?
- AUAP places a clean towel under a client’s head while changing bed linens助理護理人員（UAP）在更換床單時，將一條乾淨的毛巾置於客戶頭部下方
- BUAP uses an electric razor for a client on anticoagulant therapy助理護理人員（UAP）使用電動刮鬍刀為接受抗凝血治療的客戶刮鬍
- CUAP leaves the side rails down for a client who is on seizure precautions✓ 正解助理護理人員（UAP）將接受癲癇預防措施的客戶的床欄放下
- DUAP checks the water temperature before assisting the client with a bath助理護理人員（UAP）在協助客戶洗澡前檢查水溫
— Explanation · 中文詳解 —
執行癲癇預防（Seizure precautions）的病人，維持安全環境是首要職責。側欄下放會增加病人跌落風險，若發生癲癇發作時，防護不足將導致嚴重受傷。其餘選項雖需注意，但側欄未升起直接威脅病人安全。
Leaving the side rails down for a client on seizure precautions poses an immediate safety risk, as the client could fall and sustain injury during a seizure. The nurse must intervene to ensure the side rails are raised to maintain a safe environment. Other actions described, such as using an electric razor or checking water temperature, are appropriate safety measures.
✦ 台美臨床差異
台灣醫院多由護理師親自照護，助理人員角色與職責在美國更為明確劃分。