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照護管理 · MEDIUM · SATA

護理師準備交辦任務給實務護理師(LPN/LVN),下列哪些任務適合交辦?(選所有適合的)

The nurse is preparing to delegate tasks to an LPN/LVN. Which tasks are appropriate for the LPN/LVN to perform? (Select all that apply.)

  • AAdministering oral medications to a stable client✓ 正解
    對病情穩定的病人給予口服藥物
  • BPerforming a sterile dressing change on a chronic wound✓ 正解
    為慢性傷口進行無菌換藥
  • CDeveloping a plan of care for a newly admitted client
    為新入院病人制定照護計畫
  • DReinforcing teaching about insulin administration✓ 正解
    強化關於胰島素給藥的衛教
  • EMonitoring a client receiving a blood transfusion
    監測正在接受輸血的病人
Explanation · 中文詳解

LPN/LVN 的執業範圍包含給藥、常規傷口換藥及衛教強化。然而,擬定照護計畫屬於護理師(RN)的專業判斷職責,不可交辦;首次輸血監測需由 RN 負責,因為需要密切觀察急性過敏反應。此題旨在區分執業責任。

The scope of practice of an LPN/LVN includes medication administration, routine dressing changes, and reinforcement of teaching. However, developing the plan of care is a professional judgment responsibility of the RN and cannot be delegated; monitoring during the first portion of a blood transfusion must be performed by the RN, as it requires close observation for acute hypersensitivity reactions. This item is intended to differentiate scopes of practice.

✦ 台美臨床差異

美國有明確的 LPN 與 RN 職權區分。台灣護理師體制無此分級,但在部分專科護理師(NP)制度下,其權限與美國 RN/APRN 較為相似。

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