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照護管理 · MEDIUM · MCQ

護理長正在規劃班表,哪位病人最適合分配給經驗豐富的 LPN/LVN?

A charge nurse is planning assignments for the shift. Which client is most appropriate to assign to an experienced LPN/LVN?

  • AA client who is being prepared for discharge teaching
    準備接受出院衛教的病人
  • BA client who requires reinforcement of dressing change instructions✓ 正解
    需要加強敷料更換衛教的病人
  • CA client experiencing acute respiratory distress
    經歷急性呼吸窘迫的病人
  • DA client newly admitted with a diagnosis of unstable angina
    新入院診斷為不穩定型心絞痛的病人
Explanation · 中文詳解

護理人員指派原則中,LPN/LVN 適合照護病情穩定、無需複雜評估或教學的個案。強化衛教內容符合其執業範疇,而新入院評估、出院教學及呼吸窘迫病人的緊急評估皆屬於 RN 的專業責任,因涉及臨床判斷與複雜照護需求。LPN/LVN 可參與執行技術性護理,但對病況變化迅速的病人需由 RN 負責監控。

In nursing assignment principles, the LPN/LVN is suited to caring for stable clients who do not require complex assessment or teaching. Reinforcing teaching is within their scope, while initial admission assessment, discharge teaching, and emergency assessment of acute respiratory distress fall to the RN due to the need for clinical judgment and complex care. LPN/LVNs may perform technical care, but rapidly changing patients require RN monitoring.

✦ 台美臨床差異

美國 LPN/LVN 執業範疇較廣;台灣護理師體系無此職級細分,多由輪班護理師共同分擔照護。

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