— 照護管理 · MEDIUM · MCQ —
護理師在忙碌的內外科病房，下列哪位病人最適合分配給副護理師（LPN/VN）照顧？
A nurse is working on a busy medical-surgical unit. Which client should be assigned to the LPN/VN?
- AA client admitted with a new diagnosis of unstable angina因新診斷的不穩定型心絞痛而入院的客戶
- BA client who is 3 days postoperative and requires a dressing change on a stable wound✓ 正解術後第 3 天且需要更換穩定傷口敷料的客戶
- CA client who is scheduled for discharge education on insulin injection預定接受胰島素注射出院衛教的客戶
- DA client experiencing active respiratory distress after a thoracentesis胸腔穿刺術後經歷活動性呼吸窘迫的客戶
— Explanation · 中文詳解 —
護理任務分配（Delegation）遵循護理人員的執業範圍（Scope of practice）。LPN/VN 適合照護病情穩定、診斷明確且護理計畫已建立的病人。RN 則必須負責處理評估（Assessment）、護理教學（Education）以及不穩定病人的照護。 dressing change（換藥）屬於 LPN 熟悉的常規技術。
Delegation of nursing tasks must respect the scope of practice of each role. The LPN/VN is appropriate for the care of clients who are stable, with a clear diagnosis and an established plan of care. The RN must handle assessment, client education, and care of unstable clients. A dressing change is a routine technical skill within the LPN's familiar scope of practice.
✦ 台美臨床差異
在美國，LPN/VN 的職責範疇依各州（State Board of Nursing）規定而異，但在大多數情況下，Teaching、Assessment 與 Evaluation 均屬於 RN 的專屬職責。