— 照護管理 · HARD · MCQ —
護理師指派任務，下列何者不適合指派給執業護理師（LPN/LVN）？
A nurse is delegating care for a group of clients. Which task is inappropriate to delegate to a Licensed Practical Nurse (LPN)?
- AAdministering oral medications to a stable client對穩定病人給予口服藥物
- BConducting the initial comprehensive admission assessment✓ 正解進行初次全面的入院評估
- CPerforming a sterile dressing change進行無菌敷料更換
- DMonitoring a client during a blood transfusion監測病人輸血過程
— Explanation · 中文詳解 —
LPN/LVN 的業務範圍不包含「初次完整評估」（Initial Assessment）、護理計畫制定、以及靜脈注射高風險藥物。初次入院評估必須由 RN 執行，因為這涉及臨床判斷與後續護理目標的擬定。A、C、D 屬於 LPN 許可範圍內的操作。
The LPN/LVN scope does not include initial comprehensive assessment, care-plan development, or high-risk IV medication administration. The initial admission assessment must be performed by an RN because it involves clinical judgment and frames subsequent care goals. Options A, C, and D are within LPN scope.
✦ 台美臨床差異
台灣無 LPN 制度（僅有護理師與護士，且職責趨同），美國則明確區分 RN 與 LPN 的職責界線。