# 護理師正在內外科病房分配工作。哪項工作護理師應避免指派給無執照的輔助人員？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=396572&lang=zh-tw  
> language: zh-TW  
> subject: Assignment/Delegation/Supervision  
> category: MOC

## 題目

護理師正在內外科病房分配工作。哪項工作護理師應避免指派給無執照的輔助人員？

## 選項

1. 測量並記錄一位穩定個案的口服攝入量。
2. 使用步態帶協助個案上廁所。
3. 回報個案主訴新發生的頭暈。
4. 在早餐前給予浮動計算量胰島素。 **✔ 正確答案**

**正確答案: 4**

## 解析

給藥以及對胰島素劑量的臨床判斷是執照護理人員的責任。對於穩定的個案，測量攝入量和協助行走可以指派。回報新症狀是合適的，但評估和後續追蹤仍是護理師的責任。

## 深入解析

臨床判斷
使用個案線索、時間點、檢驗數據及安全風險，選擇最符合「工作分配與用藥安全」情境的回應。

記憶提示
將最強的線索群組與最安全的護理判斷配對。

KR vs US
NCLEX考題獎勵基於線索的優先思考，而非孤立的回憶。

## 臨床情境

臨床實務指引
對於「工作分配與用藥安全」的情境，將完整的線索模式與個案當前的穩定性、醫囑數據及預期的護理範圍進行比較。

注意
當完整情境改變了優先順序或安全性時，不要根據單一孤立的線索選擇行動。

## 重要概念

- **工作分配 (Delegation)** — 轉移某項工作的責任，同時保留對整體照護的問責。
- **執業範圍 (Scope of Practice)** — 健康照護工作者在法律和專業上被允許執行的活動。
- **浮動計算量胰島素 (Sliding-Scale Insulin)** — 根據血糖值結果和醫囑處方調整的胰島素劑量。

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