護理師正在為一群病人規劃照護計畫。下列哪項任務應分配給執業護理師（LPN）？
A nurse is planning care for a group of clients. Which task should be assigned to the Licensed Practical Nurse (LPN)?
- APerforming an admission assessment on a client with heart failure對有心衰竭的病人進行入院評估
- BDeveloping a teaching plan for a client with a new colostomy為有新造口術的病人制定衛教計畫
- CAdministering oral medications to a stable client with hypertension✓ 正解對血壓穩定的病人給予口服藥物
- DMonitoring a client receiving a blood transfusion for the first 15 minutes監測首次接受輸血的病人前 15 分鐘
在護理管理中，任務分配必須符合受委派者的職權範圍。LPN 的職責通常包括照護穩定、預測性高的病人，並執行如給藥（口服、皮下、肌肉注射）、更換換藥等技能性任務。選項 C 的穩定病人給藥完全符合 LPN 範疇。核心概念在於 RN 負責『評估（Assessment）、計畫（Planning）、教育（Teaching）及不穩定病人的評價（Evaluation）』，簡稱 EAT。選項 A 的入院評估（Assessment）需要高度判斷，必須由 RN 執行。選項 B 的教學計畫制定（Planning/Teaching）是 RN 的職責，LPN 僅能協助加強已建立的衛教。選項 D 的輸血監測屬高風險行為，特別是最初 15 分鐘的不良反應觀察，NCLEX 標準要求必須由 RN 親自完成以確保病人安全。臨床判斷的分配應基於病人穩定度與任務複雜度，這是確保單位運行效率與病人安全的關鍵策略。
In nursing management, the assignment of tasks must conform to the delegate's scope of practice. The LPN's duties typically include the care of stable, predictable clients and the performance of skill-based tasks such as administering medication (oral, subcutaneous, intramuscular) and changing dressings. Option C — administering medication to a stable client — falls clearly within the LPN's scope. The core concept is that the RN is responsible for "Evaluation, Assessment, Teaching, and Planning" (mnemonic: EAT) and for the evaluation of unstable clients. Option A, the admission assessment, requires advanced judgment and must be performed by the RN. Option B, the development of a teaching plan (Planning/Teaching), is the RN's responsibility; the LPN may only reinforce previously established teaching. Option D, monitoring a blood transfusion, is a high-risk action, particularly during the first 15 minutes when adverse reactions are observed; NCLEX standards require that this be performed by the RN to ensure client safety. Delegation of clinical judgment should be based on client stability and task complexity — a key strategy for ensuring unit efficiency and client safety.
在美國，LPN（或 LVN）的定位明確，能執行口服給藥、傷口護理等，且在許多州可進行靜脈注射（需認證）。台灣的護理實務中，雖然也有護士與護理師之分，但目前臨床上大多已整合為護理師（RN），且 LPN 考照制度已停止，臨床任務分配較少以此級別區分，多以資歷（如 N0-N4）來決定照護難度。