— 照護管理 · HARD · MCQ —
護理長應將下列哪項工作委派給 LPN/LVN 而非 UAP（照服員）？
Which of the following tasks should the charge nurse delegate to an LPN/LVN rather than an UAP?
- AAssisting the client with a bedpan協助個案使用便盆
- BAmbulating the client in the hallway陪同行走於走廊
- CMeasuring the client's vital signs測量個案的生命徵象
- DAdministering oral medications✓ 正解給予口服藥物
— Explanation · 中文詳解 —
委派的關鍵在於法律規範與執照範圍（Scope of Practice）。LPN/LVN 具備給藥執照，可進行藥物投與；UAP 則僅能協助生活照護，不能給藥。選項 C、B、A 皆屬於 UAP 的合法工作範疇。
Delegation decisions must align with the legal scope of practice for each role; LPNs/LVNs are licensed to administer oral medications, whereas Unlicensed Assistive Personnel (UAP) are restricted to basic hygiene and routine tasks. Since assisting with elimination, ambulation, and measuring vital signs fall within the UAP's scope, medication administration is the appropriate task to assign to the LPN/LVN.
✦ 台美臨床差異
美國 LPN/LVN 職級明確；台灣護理師皆為 RN，醫療輔助職責分配與國外不同。