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照護管理 · EASY · MCQ

護理師準備分配今日工作,下列哪位病人應分配給執照職業護理師(LPN/LVN)?

A nurse is preparing to delegate tasks for the day. Which client should the nurse assign to a Licensed Practical Nurse (LPN)?

  • AA client newly diagnosed with type 1 diabetes requiring insulin teaching
    新診斷第一型糖尿病且需要胰島素衛教的病人
  • BA client who requires frequent titration of intravenous nitroglycerin
    需要頻繁調整靜脈硝酸甘油劑量的病人
  • CA client with a stable stage 3 pressure ulcer requiring a sterile dressing change✓ 正解
    患有穩定期第三度壓瘡且需要無菌敷料更換的病人
  • DA client who was just admitted with unstable angina
    剛因不穩定型心絞痛入院的病人
Explanation · 中文詳解

LPN/LVN 的工作範圍包含處理穩定病人的技術性護理,如換藥、給予非 IV 藥物或常規 IV 輸液。A(需調整劑量)、A(初次衛教)和 D(剛入院的不穩定病人)都需要 RN 進行高度臨床判斷與複雜評估。穩定的壓瘡換藥是 LPN 的典型適當任務。

The scope of LPN/LVN practice includes performing technical nursing care for stable clients, such as dressing changes, administering non-IV medications, or routine IV fluids. A (medication dosage adjustment required), A (initial teaching), and D (a newly admitted unstable client) all require an RN to perform high-level clinical judgment and complex assessment. Dressing change for a stable pressure ulcer is a typical appropriate task for an LPN.

✦ 台美臨床差異

美國 LPN 有明確法律定位;台灣護理執業環境已全面改為護理師(RN)制,職校級護士(LPN)已停止培育,實務上多為 RN 間的互助。

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