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照護管理 · MEDIUM · SATA

護理師正為一組病人規劃照顧計畫,下列哪些病人適合指派給執業護理師(LPN/LVN)照顧?(選所有適合的)

A nurse is planning care for a group of clients. Which clients are appropriate to assign to a Licensed Practical Nurse (LPN/LVN)? (Select all that apply.)

  • AA client with a stable hip fracture requiring cast care✓ 正解
    患有穩定髖部骨折且需要石膏護理的病人
  • BA client newly admitted with an unknown neurological deficit
    新入院且有不明神經學缺損的病人
  • CA client receiving parenteral nutrition via central line
    透過中心靜脈管路接受腸外營養的病人
  • DA client requiring dressing changes for a chronic wound✓ 正解
    需要慢性傷口換藥的病人
  • EA client scheduled for daily oral medication administration✓ 正解
    預定每日口服給藥的病人
Explanation · 中文詳解

LPN/LVN 的業務範圍適合穩定、具預測性、且非複雜護理的病人。A(骨折)、D(慢性傷口換藥)、E(常規給藥)皆屬於此類。B(不明神經功能缺損)需要進階評估與腦神經檢查,必須由 RN 執行;C(中心靜脈營養)涉及高風險醫療技術與監控,通常需由 RN 負責。

The LPN/LVN scope of practice is suited to stable, predictable, and non-complex patients. A (fracture), D (chronic wound dressing change), and E (routine medication administration) all fit this category. B (unexplained neurologic deficit) requires advanced assessment and cranial nerve examination and must be done by an RN; C (central parenteral nutrition) involves high-risk procedures and monitoring and typically must be managed by an RN.

✦ 台美臨床差異

台灣無 LPN/LVN 職位,執照護理師均為 RN,分工多以年資及單位能力劃分。

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