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照護管理 · MEDIUM · SATA

護理師應指派哪項任務給執業護士(LPN)處理,對象是腹腔鏡膽囊切除術後兩天的病人?(選所有適合的)

Which tasks should the nurse delegate to a licensed practical nurse (LPN) for a client who is two days postoperative following a laparoscopic cholecystectomy? (Select all that apply.)

  • AAdministering oral pain medication as prescribed✓ 正解
    依醫囑給予口服止痛藥
  • BReinforcing teaching on wound care and signs of infection✓ 正解
    加強關於傷口照護及感染徵兆的衛教
  • CAssessing the surgical site for initial signs of dehiscence
    評估手術部位是否有初期裂開的跡象
  • DMonitoring intake and output✓ 正解
    監測出入量
  • EDeveloping the initial nursing care plan for discharge
    制定初步的出院護理計畫
Explanation · 中文詳解

LPN 的權責範圍包含執行護理技術、給藥及加強教育,但「評估(Assessment)」及「計畫(Planning)」屬於 RN 的核心專業職責。選項 C 與 E 涉及臨床判斷與初次評估,不可由 LPN 負責,應由 RN 執行。

The scope of practice of the LPN includes performing nursing techniques, administering medications, and reinforcing patient education, but assessment and planning are core professional responsibilities of the RN. Options C and E involve clinical judgment and the initial assessment, and therefore cannot be delegated to the LPN; they must be carried out by the RN.

✦ 台美臨床差異

美國 LPN 角色明確;台灣護理體系未區分 LPN/RN,主要以護理師證照區分,部分照護工作由護佐協助。

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