— 照護管理 · HARD · SATA —
下列哪些病人適合委派給執業護士／執業實用護理師（LPN/LVN）照護？（選所有適合的）
Which clients are appropriate for a nurse to assign to a Licensed Practical Nurse (LPN/LVN)? (Select all that apply.)
- AA client with a stable wound requiring dressing changes✓ 正解傷口狀況穩定，需更換敷料之病人
- BA client with a newly inserted chest tube新放置胸腔引流管之病人
- CA client with a chronic diagnosis requiring oral medication administration✓ 正解患有慢性疾病，需給予口服藥物之病人
- DA client exhibiting signs of unstable respiratory distress出現呼吸窘迫不穩定徵象之病人
- EA client with a well-managed Foley catheter in place✓ 正解已妥善安置導尿管之病人
— Explanation · 中文詳解 —
LPN/LVN 的照護範圍適合「穩定」且「可預測」的病人。換藥、給予口服藥及導尿管維護均屬於這類範疇。而新置入胸管（需監測併發症）或呼吸窘迫（需緊急評估與介入）病人均需 RN 的專業判斷，不應委派給 LPN。
LPNs/LVNs are appropriately assigned to stable clients with predictable outcomes, such as those requiring routine wound care, oral medication administration, or maintenance of existing devices like Foley catheters. Clients requiring complex assessment, unstable conditions, or new invasive procedures should be managed by RNs.
✦ 台美臨床差異
美國有嚴格的 LPN/LVN 法規架構；台灣無此職稱對應，現行體系多為護理師（RN）與護佐（NA）之分。