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照護管理 · MEDIUM · SATA

在註冊護理師監督下,下列哪些病人適合指派給執業護理師(LPN/LVN)照護?(選所有適合的)

Which clients are appropriate for a nurse to assign to an LPN/LVN under the supervision of an RN? (Select all that apply.)

  • AA client with a stable chronic condition requiring daily dressing changes✓ 正解
    患有穩定慢性疾病,需要每日換藥的病人
  • BA client newly admitted with unstable cardiac dysrhythmias
    新入院且有心律不穩的病人
  • CA client who is 2 days post-op and requires oral medication administration✓ 正解
    術後第 2 天,需要給予口服藥物的病人
  • DA client requiring complex discharge teaching for a new insulin regimen
    需要針對新胰島素療程進行複雜出院衛教指導的病人
  • EA client with a history of hypertension needing routine vital signs monitoring✓ 正解
    有高血壓病史,需要常規監測生命徵象的病人
Explanation · 中文詳解

護理委派(Delegation)的核心原則是「委派穩定、可預測的病人」。LPN/LVN 適合照護病情穩定(Stable)、不需要頻繁護理評估(Assessment)或複雜教學(Teaching)的個案。若病人處於不穩定狀態、急性期或需要複雜的評估與護理判斷,則必須由 RN 執行。本題中,A、C、E 的病情已穩定且處於常規護理階段,符合 LPN 照護範疇。

The core principle of nursing delegation is to delegate stable, predictable clients. LPNs/LVNs are appropriate for clients who are stable, do not require frequent nursing assessments, or complex teaching. Clients who are unstable, in an acute phase, or who require complex assessment and nursing judgment must be cared for by an RN. In this question, A, C, and E represent stable clients in routine care and fall within the LPN scope of practice.

✦ 台美臨床差異

在美國,LPN/LVN 的執照範圍(Scope of Practice)明確由州護理委員會規範。雖然台灣護理師與護士在臨床分工上較模糊,但 NCLEX 考試中,必須嚴格遵守「RN 評估(Assess)、教導(Teach)、評值(Evaluate)」不可委派的原則。

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