護理師在內外科病房進行工作分配,哪一位病人的照護適合指派給執業護理師(LPN/LVN)?
A nurse is working on a medical-surgical unit and is assigning care for a group of clients. Which client is appropriate to assign to a licensed practical nurse (LPN/LVN)?
- AA client experiencing active gastrointestinal bleeding經歷活動性胃腸道出血的病人
- BA client who needs education regarding newly prescribed insulin therapy需要關於新處方胰島素療法的衛教的病人
- CA client who requires dressing changes for a stage 2 pressure ulcer✓ 正解需要為二期壓瘡更換敷料的病人
- DA client newly admitted with suspected pulmonary embolism因疑似肺栓塞新入院的病人
LPN/LVN 的執業範圍包括執行常規性照護程序,如傷口護理、給藥和收集臨床數據。對於病情穩定且照護計畫明確的病人,LPN 是合適的人選。其餘選項皆涉及急性病情變化(肺栓塞、出血)或護理指導(衛教),這些屬於註冊護理師(RN)的專業範疇,需具備複雜臨床判斷與評估能力。
The scope of practice of an LPN/LVN includes performing routine care procedures such as wound care, medication administration, and data collection. For clients who are stable and have a clear plan of care, an LPN is an appropriate assignment. The other options all involve acute changes in condition (pulmonary embolism, bleeding) or patient teaching, which fall within the scope of the registered nurse (RN), requiring complex clinical judgment and assessment skills.
美國 LPN 執業範圍受州政府法規嚴格界定;台灣護理人員(N1-N4)工作範疇較模糊,常因醫院內規而有不同授權。