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照護管理 · MEDIUM · SATA

護理師正在督導輔助人員(AP),針對中風病人的照護,下列哪些任務可委派給 AP?(選所有適合的)

A nurse is supervising an assistive personnel (AP). Which tasks can the AP perform for a client with a history of stroke? (Select all that apply.)

  • AAssisting the client with oral hygiene✓ 正解
    協助病人進行口腔衛生
  • BAssessing the client's ability to swallow
    評估病人的吞嚥能力
  • CTurning and repositioning the client every 2 hours✓ 正解
    每 2 小時為病人翻身與重新擺位
  • DReporting skin redness on the client's sacral area✓ 正解
    回報病人薦骨區域的皮膚發紅
  • EFeeding the client after ensuring proper positioning
    在確保適當體位後餵食病人
Explanation · 中文詳解

根據護理委派原則(Delegation principles),護理師只能委派常規、穩定且不需要高度判斷的任務給輔助人員(AP)。評估(Assessment)、診斷(Diagnosis)、計畫(Planning)與評值(Evaluation)屬於專業護理師的不可轉移職責。口腔衛生、翻身、觀察紅斑回報均屬於日常照護範圍,適合委派。

Assistive personnel can perform routine, stable tasks such as assisting with oral hygiene, turning and repositioning the client, and reporting observed skin changes. However, assessment, diagnosis, planning, and evaluation remain the exclusive responsibilities of the licensed nurse, making swallowing assessments and feeding high-risk stroke patients inappropriate for delegation.

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