# 護理師正在照顧四位病人。哪一項任務適合委派給未持有執照的輔助人員？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=397248&lang=zh-tw  
> language: zh-TW  
> subject: Assignment/Delegation/Supervision  
> category: MOC

## 題目

護理師正在照顧四位病人。哪一項任務適合委派給未持有執照的輔助人員？

## 選項

1. 評估個案在使用浴室後突然出現呼吸急促的狀況。
2. 教導個案正確使用新的 metered-dose inhaler 的技巧。
3. 評估個案在走廊走動後新出現的胸痛。
4. 在早餐前為一位病情穩定的病人測量常規血壓。 **✔ 正確答案**

**正確答案: 4**

## 解析

為病情穩定的病人測量常規生命徵象是一項適合委派的任務。評估、評價和教導需要護理專業判斷。新出現的症狀，如胸痛或呼吸急促，必須由護理師進行評估。

## 深入解析

臨床判斷
利用病人線索、時間點、檢驗數據和安全風險，選擇最符合常規生命徵象委派的回應。

記憶提示
將最強的線索群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
對於常規生命徵象的委派，請將完整的線索模式與病人當前的穩定性、醫囑數據和預期的護理範圍進行比較。

注意事項
當完整情境改變了優先順序或安全性時，不要僅根據單一孤立的線索選擇行動。

## 重要概念

- **委派** — 將任務指派給另一位團隊成員，同時仍對照護結果負責。
- **病情穩定的病人** — 病情可預測且目前沒有變化的病人。
- **護理判斷** — 基於評估和病人線索的臨床決策。

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