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照護管理 · MEDIUM · SATA

護理師計畫一位接受人工髖關節置換術病人的出院照護。下列哪些工作可適當地委派給 LPN/LVN?(選所有適合的)

A nurse is planning discharge care for a client who had a total hip arthroplasty. Which tasks can the nurse appropriately delegate to an LPN/LVN? (Select all that apply.)

  • AAdministering oral pain medication✓ 正解
    給予口服止痛藥
  • BChanging the surgical dressing✓ 正解
    更換手術敷料
  • CPerforming an initial post-operative assessment
    執行術後初次評估
  • DReinforcing crutch-walking instructions✓ 正解
    強化拐杖行走指導
  • EDeveloping the discharge teaching plan
    擬定出院衛教計畫
Explanation · 中文詳解

護理委派(Delegation)必須遵循「五項正確原則(Five Rights of Delegation)」,包括正確的任務、情況、人員、溝通與監督。RN 負責護理過程的評估、診斷、計畫與教學,而 LPN/LVN 可執行已建立好護理計畫中的穩定性任務。初次評估與教學計畫的制定屬於 RN 的專業核心職責,不可委派。

Nursing delegation must follow the "Five Rights of Delegation": the right task, the right circumstance, the right person, the right communication, and the right supervision. The RN is responsible for assessment, diagnosis, planning, and teaching within the nursing process, while the LPN/LVN can carry out stable tasks within an established plan of care. Initial assessment and development of the teaching plan are core professional responsibilities of the RN and cannot be delegated.

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