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照護管理 · EASY · MCQ

護理師在內外科病房進行護理分配,下列哪位病人適合分配給執業護理師(LPN)照顧?

A nurse is working in a medical-surgical unit and is assigning care for a group of clients. Which client should be assigned to the licensed practical nurse (LPN)?

  • AA client experiencing active gastrointestinal bleeding requiring frequent monitoring
    正經歷活動性胃腸道出血且需頻繁監測的病人
  • BA client with a new diagnosis of diabetes mellitus requiring insulin education
    新診斷糖尿病且需胰島素衛教的病人
  • CA client who has just returned from an appendectomy with unstable vitals
    剛完成闌尾切除術且生命徵象不穩定的病人
  • DA client requiring a stable dressing change for a chronic wound✓ 正解
    需為慢性傷口進行穩定敷料更換的病人
Explanation · 中文詳解

LPN 的執業範圍包括照護病情穩定、可預測的病人,執行標準化的護理程序。慢性傷口換藥屬於穩定護理,適合 LPN。新診斷病人需要複雜的衛教與評估,需由 RN 執行;術後不穩定病人或活動性出血病人皆具危急風險,亦必須由具備更強評估能力的 RN 負責。

The LPN scope of practice includes caring for patients whose condition is stable and predictable, and performing standardized nursing procedures. Dressing changes for chronic wounds fall within stable care and are appropriate for the LPN. A newly diagnosed patient requires complex teaching and assessment and must be managed by the RN; a postoperatively unstable patient or one with active bleeding both carry critical risks and must likewise be managed by the RN, who has more advanced assessment skills.

✦ 台美臨床差異

美國 LPN 可執行給藥與換藥等護理;台灣護理人員皆為護理師/護士,層級劃分主要依職位與資深程度。

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