護理師正在督導護理團隊。下列哪些任務適合委派給技術護理師（LPN/LVN）？（選所有適合的）

在護理團隊中，不同層級的護理人員（如註冊護理師 RN、技術護理師 LPN/LVN、輔助人力 UAP）各自擁有不同的職責範圍（Scope of practice）。護理師（RN）作為團隊領導者，負責監督與指導，並將任務委派（Delegate）給適當的人員，以確保照護的連續性與品質。委派的原則是將可預測性高、例行性、不需要複雜臨床判斷的任務委派給較低層級人員，而將需要評估、診斷、計畫與評值的任務保留給 RN。 選項 A、C、D 皆為技術護理師（Licensed Practical Nurse, LPN/LVN）可適當執行的任務。, 選項 A 正確。為「病情穩定」（Stable client）的病人給予口服藥物（Administering oral medications）是 LPN 的職責範圍之一。他們可以根據醫囑給藥，並觀察病人的基本反應。 選項 C 正確。強化（Reinforcing）既有的衛教內容，例如糖尿病病人學習注射胰島素，RN 進行了初步的全面衛教後，LPN 可以根據 RN 的指導，再次向病人示範、解答疑問，鞏固其學習效果。但「首次」或「複雜」的衛教應由 RN 執行。 選項 D 正確。更換慢性手術傷口（Chronic surgical wound）的敷料，屬於執行性技術任務。只要傷口情況穩定，沒有複雜的評估需求（如判斷感染、深度等），LPN 可以執行。 選項 B 錯誤。對新入院病人進行「初始入院評估」（Initial admission assessment）需要 RN 進行全面的健康史收集、身體檢查，並做出臨床判斷，制定初步的護理計畫。這屬於 RN 的核心職責，不可委派給 LPN。 選項 E 錯誤。「制定護理計畫」（Developing a plan of care）需要 RN 運用其專業知識和判斷能力，整合病人所有健康問題，制定全面的照護策略。這同樣是 RN 的職責，不可委派給 LPN。 臨床思路：委派任務時，需考量病人的穩定性（Stability）和任務的複雜性（Complexity）。簡單、重複性、執行性的任務適合委派；需要評估、判斷、決策、教育的任務則必須由 RN 親自執行或監督。

Within a nursing team, different levels of personnel (such as registered nurses [RN], licensed practical nurses [LPN/LVN], and unlicensed assistive personnel [UAP]) each have their own scope of practice. As team leader, the RN supervises and directs care and delegates tasks to appropriate personnel to ensure continuity and quality of care. The principle of delegation is to assign predictable, routine tasks that do not require complex clinical judgment to lower-level personnel, while tasks involving assessment, diagnosis, planning, and evaluation are retained by the RN. Options A, C, and D are all tasks that may be appropriately performed by a licensed practical nurse (LPN/LVN). Option A is correct. Administering oral medications to a 'stable client' is within the LPN's scope. They may administer medications per orders and observe basic client responses. Option C is correct. Reinforcing existing teaching content, such as insulin administration for a diabetic client, is appropriate. After the RN has performed initial comprehensive teaching, the LPN may, under the RN's guidance, demonstrate again, answer questions, and reinforce learning. However, 'initial' or 'complex' teaching must be performed by the RN. Option D is correct. Changing dressings on a chronic surgical wound is a procedural task. As long as the wound is stable and does not require complex assessment (such as judgment of infection or depth), an LPN may perform it. Option B is incorrect. Performing an 'initial admission assessment' on a newly admitted client requires the RN to obtain a comprehensive health history, perform a physical exam, make clinical judgments, and develop an initial plan of care. This is a core RN responsibility and cannot be delegated to an LPN. Option E is incorrect. 'Developing a plan of care' requires the RN's professional knowledge and judgment to integrate all of the client's health problems and create a comprehensive care strategy. This is likewise an RN responsibility and cannot be delegated to an LPN. Clinical reasoning: When delegating, consider both the client's stability and the complexity of the task. Simple, repetitive procedural tasks are appropriate for delegation; tasks that require assessment, judgment, decision-making, or education must be performed or supervised by the RN.