— 照護管理 · MEDIUM · MCQ —
護理師準備委託工作給執業護理師（LPN/LVN），下列哪項工作適合作為委託項目？
A nurse is preparing to delegate tasks to a Licensed Practical Nurse (LPN/LVN). Which task is appropriate for the nurse to delegate?
- AAdministering oral medications to a stable client✓ 正解對病情穩定的病人給予口服藥物。
- BProviding discharge teaching for a complex surgery patient為複雜手術病人提供出院衛教。
- CDeveloping the initial nursing care plan for a new admission為新入院病人擬定初步護理計畫。
- DPerforming a sterile dressing change on a client with an unstable wound為傷口狀況不穩定的病人進行無菌換藥。
— Explanation · 中文詳解 —
RN 的護理職責包含評估、診斷、計畫與評值（ADPIE），這些核心職責不可委託。給予穩定病人藥物屬於穩定狀態下的執行任務，符合 LPN/LVN 的執業範圍。計畫擬定、衛教與不穩定病人的傷口處置需由 RN 親自操作。
The RN's nursing responsibilities include assessment, diagnosis, planning, and evaluation (the ADPIE process), which cannot be delegated. Administering medication to a stable client is a task that can be performed under stable conditions and is within the LPN/LVN scope of practice. Care planning, complex teaching, and wound care for an unstable client must be performed by the RN.
✦ 台美臨床差異
台灣無 LPN 職位，多由助理護理師或照顧服務員協助，但此題概念涉及護理授權法規。