— 照護管理 · MEDIUM · MCQ —
護理長正在分配護理工作，下列哪位病人最適合分配給資深護理師（LPN/LVN）照護？
A charge nurse is planning assignments. Which client should be assigned to an experienced LPN/LVN?
- AA client with a suspected stroke in the ED一位在急診室疑似中風的病人
- BA client newly admitted with unstable angina一位新入院患有不穩定型心絞痛的病人
- CA client receiving their first dose of IV vancomycin一位接受第一劑靜脈注射萬古黴素的病人
- DA client with a chronic stage 3 pressure ulcer needing dressing changes✓ 正解一位患有慢性第三期壓瘡需要換藥的病人
— Explanation · 中文詳解 —
LPN 的照護範圍適合穩定且需要例行性護理處置的病人。褥瘡換藥屬於規律性的護理程序，且病人病情穩定。反之，新入院心絞痛、首劑 IV 抗生素（需監測過敏與副作用）及中風懷疑個案，均屬於高度不穩定或需評估層級，應由 RN 負責。
The LPN's scope of practice is appropriate for stable clients requiring routine nursing interventions. Pressure ulcer dressing changes are routine nursing procedures and the client is stable. In contrast, newly admitted unstable angina, a first dose of IV antibiotics (which requires monitoring for allergic and adverse reactions), and a suspected stroke case are all highly unstable or require complex assessment and should be managed by an RN.
✦ 台美臨床差異
美國 LPN 執照範圍明文規範，台灣護理人員職責主要由科室主管分配，較少嚴格區分 RN/LPN 執業範圍。