護理師在遠端心電監護病房（telemetry unit）照護一群病人。下列哪項任務應授權給執業助理護理師（LPN/LVN）？
A nurse is caring for a group of clients on a telemetry unit. Which task should the nurse delegate to a licensed practical nurse (LPN/LVN)?
- APerforming daily wound care and sterile dressing changes on a stable client.✓ 正解對穩定病人進行每日傷口照護及無菌敷料更換
- BAdministering an intravenous (IV) push bolus of diltiazem for rapid ventricular rate.為快速心室率病人靜脈推注（IV push）達爾地嗪
- CInitial admission assessment of a client with atrial fibrillation.心房顫動病人的初次入院評估
- DTitrating a continuous heparin infusion based on aPTT results.根據 aPTT 結果調整持續肝素輸注速率
授權給 LPN/LVN 的原則是分配「穩定病人」的「常規技能」。LPN/LVN 的訓練包含傷口換藥、給予大多數口服或皮下藥物，以及針對已存在的病人狀態進行後續評估。選項 A 的穩定病人傷口換藥完全符合 LPN 的範疇。相反地，選項 C 涉及「初步評估」（Initial Assessment），這是 RN 的專屬權責。選項 B 與 D 涉及高風險的靜脈推注（IV Push）或需要頻繁臨床判斷的連續滴注滴定（Titration），在大多數州別與醫院規範中，這些複雜處置必須由 RN 執行。正確的授權有助於團隊合作，但也必須守住專業分工的底線以確保安全。
The principle of delegating to LPN/LVN is to assign routine skills for stable clients. LPN/LVN training includes wound care, administration of most oral or subcutaneous medications, and follow-up assessment for established patient conditions. The wound care for a stable client in option A fits within the LPN scope of practice. In contrast, option C involves an initial admission assessment, which is the exclusive responsibility of the RN. Options B and D involve high-risk IV push medications or continuous infusion titration requiring frequent clinical judgment; in most states and institutional policies, these complex procedures must be performed by the RN. Proper delegation supports teamwork but must respect professional scopes of practice to ensure safety.
在美國，LPN 與 RN 的分工極為明確且受法律（Nurse Practice Act）保護。台灣目前的護理環境中，職位多以 RN（護理師）為主，普護（LPN）已逐漸減少且在臨床上分工較不精細，考試時需特別注意美國法規對 LPN 權限的嚴格限制。