註冊護理師 (RN) 正在將任務分配給執業護理師 (LPN)。下列哪項任務最適合委派給 LPN？
A registered nurse (RN) is delegating tasks to a licensed practical nurse (LPN). Which task is most appropriate for the RN to delegate?
- ADeveloping a plan of care for a client newly diagnosed with hypertension.為新診斷高血壓的病人擬定護理計畫
- BPerforming the initial admission assessment of a client with pneumonia.對肺炎病人進行初次入院評估
- CEvaluating the client's response to an intravenous push (IVP) analgesic.評估病人對靜脈推注鎮痛劑的反應
- DAdministering oral medications to a stable client with heart failure.✓ 正解對病情穩定的心衰竭病人給予口服藥物
授權原則（Delegation）中，RN 負責 TAPE：Teaching（教學）、Assessment（初始評估）、Planning（護理計畫制定）、Evaluation（成效評估）。LPN 的專業範疇（Scope of Practice）通常包含照護「穩定」個案、執行例行性技術性工作（如口服給藥、換藥）。本題中，B、A、C 分別涉及初始評估、計畫制定與藥物效果評估，皆屬於 RN 的核心專業。口服藥物給予是 LPN 的基本職能。臨床安全原則強調：對於剛入院或病情不穩定的病人，RN 必須親自介入，而將可預測、標準化的程序交由 LPN，以優化人力資源分配。
In the principles of delegation, the RN is responsible for TAPE: Teaching, Assessment (initial assessment), Planning (care plan development), and Evaluation (outcome evaluation). The LPN's scope of practice typically includes caring for stable clients and performing routine technical tasks (such as oral medication administration and dressing changes). In this question, options B, A, and C involve initial assessment, planning, and evaluation of medication effects, all of which fall within the core practice of the RN. Oral medication administration is a basic LPN function. Clinical safety principles emphasize that for newly admitted or unstable patients, the RN must intervene directly, while predictable, standardized procedures may be delegated to the LPN in order to optimize the allocation of human resources.
美國 LPN/LVN 有明確的法定執業範圍，可獨立負責穩定病人的給藥與傷口照護；台灣目前實務上已逐漸轉型為單一 RN 制，雖然法律上仍有護士（LPN）類別，但在大型醫院中，大多數任務皆由 RN 執行，且委派概念在台灣臨床教育中較少被系統性強調。