— 照護管理 · MEDIUM · MCQ —
護理師準備分配工作給一名執業護理師（LPN/VN）。下列哪項工作適合由 LPN 執行？
A nurse is preparing to delegate tasks to a Licensed Practical Nurse (LPN/VN). Which task is appropriate for the LPN to perform?
- APerforming a comprehensive head-to-toe assessment on a client in the ICU對加護病房中的病人進行全面的頭到腳評估
- BAdministering oral medications to a stable client✓ 正解對狀況穩定的病人給予口服藥物
- CEducating a client on the side effects of new chemotherapy medication教育病人有關新化療藥物的副作用
- DFormulating the initial nursing care plan for a new admission為新入院病人擬定初步護理計畫
— Explanation · 中文詳解 —
護理人員授權原則中，護理師（RN）負有評估、診斷、衛教及複雜護理的法律責任。給予穩定病人的口服藥物屬於標準化且可預期的程序，LPN 可在 RN 指導下執行。而初始評估、護理計畫制定及針對高風險藥物的衛教，均須由 RN 親自操作。
Within the principles of nursing delegation, the registered nurse (RN) is legally responsible for assessment, diagnosis, teaching, and complex nursing care. Administering oral medications to a stable client is a standardized and predictable procedure that the LPN can perform under RN supervision. However, the initial assessment, formulating the nursing care plan, and providing teaching about high-risk medications must be performed by the RN.
✦ 台美臨床差異
台灣護理體系未完全對應 LPN 職位，多由助理護理員或一般護理師執行，法規對給藥授權界線與美國不同。