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照護管理 · MEDIUM · MCQ

護理師正在將任務分派給執業護士(LPN/LVN)。下列哪項任務適合由 LPN 為穩定的術後病人執行?

A nurse is delegating tasks to a Licensed Practical Nurse (LPN/LVN). Which task is appropriate for the LPN to perform for a stable postoperative client?

  • APerforming an initial admission assessment
    進行新入院的初步評估
  • BAdministering oral medication as prescribed✓ 正解
    依醫囑給予口服藥物
  • CDeveloping the initial nursing care plan
    擬定初步護理計畫
  • DExplaining the risks and benefits of a blood transfusion
    解釋輸血的風險與益處
Explanation · 中文詳解

護理任務分派(Delegation)必須遵循「五項權利(Five Rights of Delegation)」,並考量各層級護理人員的職責範圍(Scope of practice)。RN 負責需要專業判斷、評估與教學的複雜任務;LPN/LVN 則可執行穩定病人狀況下的技術性照護與給藥。此題重點在於區分「評估/規劃」與「執行/給藥」的差異。

Nursing delegation must follow the Five Rights of Delegation and take into account the scope of practice of each level of nursing personnel. The RN is responsible for complex tasks requiring professional judgment, assessment, and teaching; the LPN/LVN may perform technical care and medication administration for stable clients. The key to this item is distinguishing 'assessment/planning' from 'implementation/administration.'

✦ 台美臨床差異

在美國,LPN/LVN 可以給藥(包括部分皮下注射),但不能執行需要評估(Assessment)或病患教育(Teaching)的核心責任。護理師必須清楚自己州(State)的 Nurse Practice Act。

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