註冊護理師（RN）正在安排班表。哪位病人最適合分配給職業護理師（LPN/LVN）？
A registered nurse (RN) is preparing the shift assignment. Which client is most appropriate to assign to a licensed practical nurse (LPN/LVN)?
- AA client who underwent a total hip replacement 2 days ago and needs a dressing change.✓ 正解兩天前接受全髖關節置換術且需要更換敷料的病人
- BA client scheduled for a thyroidectomy in 2 hours requiring preoperative teaching.兩小時後安排甲狀腺切除術且需要術前衛教的病人
- CA client with a new onset of chest pain and shortness of breath.新發胸痛和呼吸困難的病人
- DA client newly admitted with a diagnosis of rule-out meningitis.以排除腦膜炎為診斷新入院的病人
護理分工的核心在於評估（Assessment）、計畫（Planning）與判斷。LPN 的執業範圍通常涵蓋「穩定」病人的照護與常規技術操作。選項 A 的病人已術後兩天，生命徵象與傷口狀況相對預期且穩定，更換敷料屬於 LPN 訓練範疇內的技術性工作。相較之下，選項 C 屬於急性生理不穩定，需要 RN 進行高頻率的評估與緊急判斷；選項 B 涉及術前衛教（Teaching），這是 RN 的核心責任，因為需要評估病人的認知與情緒狀態；選項 D 是新入院且診斷未明，需 RN 建立護理計畫與初步評估。安全分工應遵循「病人穩定度」與「技術複雜度」原則。
The core of nursing assignment is assessment, planning, and judgment. The scope of LPN practice generally covers the care and routine technical tasks for 'stable' clients. The client in Option A is on postoperative day 2 with relatively expected and stable vital signs and wound status, and a dressing change is within the LPN's trained skill set. In contrast, Option C describes acute physiologic instability requiring frequent RN assessment and emergency judgment; Option B involves preoperative teaching, which is a core responsibility of the RN because it requires assessment of the client's cognitive and emotional state; Option D is a newly admitted client with an unconfirmed diagnosis, requiring the RN to establish the nursing care plan and complete the initial assessment. Safe assignment should follow the principles of 'client stability' and 'task complexity.'
在美國，LPN 與 RN 的界線清楚，LPN 可在 RN 監督下執行換藥等技術；台灣目前護理實務中，專科護理師、護理師與護士的分工較重疊，但在 NCLEX 邏輯下，必須嚴格遵守 RN 負責評估、教學與不穩定病人的原則。