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檢視護理長的交班更新，並判斷變化的病人嚴重度應如何影響工作指派與授權決策。

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Time	Data
0700	Team: charge RN, 2 RNs, 1 LPN/LVN, and 1 UAP. Original assignments are based on stable overnight reports.團隊：護理長、2位註冊護理師、1位持照實習護士/職業護士，以及1位非執照輔助人員。原本的工作指派是根據穩定的夜班交班報告。
0715	One RN begins scheduled discharge teaching for a stable client. The UAP starts routine morning weights.一位註冊護理師開始為一位穩定的個案進行預定的出院衛教。非執照輔助人員開始進行常規的早晨體重測量。
0730	A client 6 hours after thyroidectomy develops new inspiratory stridor, restlessness, and oxygen saturation 89% on room air.一位甲狀腺切除術後6小時的個案出現新的吸氣性喘鳴、躁動不安，且在未使用氧氣下血氧飽和度為89%。
0740	Another client remains stable and needs a routine daily weight and assistance setting up the breakfast tray.另一位個案仍維持穩定，需要常規的每日體重測量及協助準備早餐餐盤。

Q1. Which update most strongly requires immediate revision of the assignment?哪一項更新最強烈需要立即修訂工作指派？

The stable client is ready for scheduled discharge teaching穩定的個案已準備好進行預定的出院衛教 The UAP has started routine morning weights非執照輔助人員已開始進行常規的早晨體重測量 The postoperative client develops stridor and oxygen saturation 89%術後個案出現喘鳴且血氧飽和度為89%

Q2. What should the charge nurse do first after the 0730 update?在0730的更新後，護理長應先採取何項行動？

Send an experienced RN to assess and activate the emergency response while redistributing stable tasks派遣有經驗的註冊護理師進行評估並啟動緊急應變，同時重新分配穩定的任務 Keep the original assignments so every planned task is completed on time維持原本的工作指派，以便所有計畫中的任務能準時完成 Ask the UAP to assess the airway while the RNs finish scheduled care請非執照輔助人員評估呼吸道，同時註冊護理師完成預定的照護

Q3. Which task remains appropriate to delegate to the UAP after assignments are revised?在工作指派修訂後，哪一項任務仍適合授權給非執照輔助人員？

Determine whether the stridor is caused by airway edema判斷喘鳴是否由呼吸道水腫所引起 Obtain and report the routine daily weight of the stable client取得並回報穩定個案的常規每日體重 Decide whether a change in weight requires a diuretic adjustment決定體重變化是否需要調整利尿劑

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