# 內外科病房的責任護理師正在分派 LPN 與輔助人員(AP)的工作。哪一項適合委派給 AP？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=393555&lang=zh-tw  
> language: zh-TW  
> subject: Assignment/Delegation/Supervision  
> category: MOC

## 題目

內外科病房的責任護理師正在分派 LPN 與輔助人員(AP)的工作。哪一項適合委派給 AP？

## 選項

1. 為等待出院且狀況穩定的個案測量並記錄例行生命徵象。 **✔ 正確答案**
2. 評估心衰竭個案新出現的胸口壓迫感。
3. 教導術後個案使用新的誘發性肺量計。
4. 評估第一次 IV 嗎啡後的止痛效果。

**正確答案: 1**

## 解析

穩定個案的例行生命徵象可預測且風險低，在 RN 指示與追蹤下可委派給 AP。教學、藥物反應評估與新發不穩定症狀的評估需要有執照護理判斷。

## 深入解析

臨床判斷
同時考量個案穩定度、工作可預測性、人員能力與 RN 監督。

記憶重點
穩定且例行的工作可委派；評估、教學與成效判斷保留給 RN。

## 臨床情境

實務指引
個案穩定、工作例行、結果明確且 RN 可監督時，委派較安全。

注意
不可將評估、初次教學、臨床評價或不穩定變化委派給 AP。

## 重要概念

- **委派** — RN 保留結果責任與監督責任，同時指派他人執行任務。
- **執業範圍** — 規定各角色可執行工作之法律與機構政策界線。
- **監督** — RN 在分派後提供方向、追蹤並評估結果。

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