一位註冊護理師正在安排內外科病房四位病人的照護工作。下列哪些任務最適合交派給無照護佐（UAP）執行？（選所有適合的）
An RN is organizing care for four clients on a med-surg unit. Which task assignments are most appropriate to delegate to the unlicensed assistive personnel (UAP)? (Select all that apply.)
- AFeeding a pureed diet to a neurologically stable client three days post-stroke who has passed swallow evaluation.✓ 正解餵食神經學狀況穩定且已通過吞嚥評估之三天前中風病人的泥狀飲食
- BAmbulating a 70-year-old client for the first time after hip arthroplasty surgery.協助七十歲病人在髖關節置換術後第一次下床行走
- CMeasuring and recording urinary output from a Foley catheter in clinically stable clients.✓ 正解測量並記錄臨床穩定病人福來氏導尿管的尿量
- DApplying a medicated barrier cream to a newly excoriated, bleeding pressure ulcer.對新出現擦傷且出血的壓瘡塗抹藥物性屏障霜
委派原則（Five Rights of Delegation）要求 UAP 只能執行常規、結果可預期、不需護理判斷的任務。 選項 A 正確：協助餵食一位神經學上穩定、已通過吞嚥評估（swallow evaluation）的中風病人，屬於常規 ADL，UAP 可執行。 選項 C 正確：測量並記錄已置放 Foley 導尿管之穩定病人的尿量，是 UAP 標準工作範圍。 選項 B 錯誤：髖關節置換術後第一次下床（first ambulation）是高風險動作，可能出現姿勢性低血壓、脫位（dislocation）、跌倒，需由 RN 親自評估並執行。 選項 D 錯誤：傷口照護涉及評估（assessment）、無菌技術與藥物使用判斷，且新出現的滲血壓瘡需 RN 重新評估傷口分期與處置計畫，不可委派 UAP。
Delegation principles (Five Rights of Delegation) state that UAPs can only perform routine tasks with predictable outcomes that do not require nursing judgment. A is correct: Feeding a neurologically stable post-stroke client who has passed a swallow evaluation is routine ADL care within UAP scope. C is correct: Measuring and recording urine output from Foley catheters in stable clients is a standard UAP task. B is incorrect: First ambulation after hip arthroplasty carries high risk of orthostatic hypotension, dislocation, and falls, and requires direct RN assessment and assistance. D is incorrect: Wound care involves assessment, sterile technique, and medication judgment. A newly excoriated, bleeding pressure ulcer requires RN reassessment of staging and treatment plan; it cannot be delegated.
UAP 護佐可以餵食與倒尿，但絕對不能處理不穩定的病人或給藥。