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照護管理 · MEDIUM · 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士 (LPN/LVN) 照護?

A nurse is working on a medical-surgical unit and is assigning care for a group of clients. Which client should the nurse assign to a Licensed Practical Nurse (LPN)?

  • AA client experiencing acute symptoms of hypoglycemia
    出現急性低血糖症狀的客戶
  • BA client who needs education on newly prescribed insulin
    需要接受新開立胰島素衛教的客戶
  • CA client requiring a dressing change for a chronic pressure ulcer✓ 正解
    需要為慢性壓力性傷口更換敷料的客戶
  • DA client newly admitted with suspected pulmonary embolism
    因疑似肺栓塞新收案的客戶
Explanation · 中文詳解

LPN 職責範圍包含照顧病情穩定、常規且可預測的病人。慢性傷口護理屬常規程序,適合由 LPN 執行。急性肺栓塞病人病情不穩定(D)、需要衛教與評估新藥反應(B)、以及低血糖急性反應(A)皆屬於需要註冊護理師 (RN) 進行批判性思考、評估與決策的任務。

The LPN's scope of practice includes care of stable clients with routine, predictable needs. Care of a chronic pressure ulcer dressing is a routine procedure appropriate for the LPN. A client with acute pulmonary embolism is unstable (D); teaching about a newly prescribed medication and evaluating learning (B); and managing acute hypoglycemia (A) are all tasks that require the critical thinking, assessment, and decision making of a registered nurse (RN).

✦ 台美臨床差異

美國 LPN 職責明確;台灣醫護體系主要由護理師 (RN) 執行所有照顧,無 LPN 分級,多採全責護理。

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