註冊護理師（RN）正在規劃一組病人的照護計畫。下列哪項任務最適合授權給執業護理師（LPN/LVN）執行？
A registered nurse (RN) is planning care for a group of clients. Which task is most appropriate for the RN to delegate to a licensed practical nurse (LPN)?
- AMonitoring the status of a client receiving a blood transfusion監測接受輸血的病人狀況
- BPerforming an admission assessment on a client with heart failure對心力衰竭病人執行入院評估
- CAdministering a scheduled intramuscular injection of an antibiotic✓ 正解給予定時的抗生素肌肉注射
- DDeveloping a teaching plan for a client newly diagnosed with diabetes為新診斷糖尿病的病人制定衛教計畫
授權原則的核心在於區分 RN 與 LPN 的職權範圍。RN 負責 TAPE 原則：教育（Teaching）、評估（Assessment）、計畫（Planning）與評值（Evaluation）。行政管理上，LPN 可以執行穩定的護理技術。選項 B（入院評估）和 D（制定衛教計畫）涉及評估與計畫，必須由 RN 親自執行。選項 A（監測輸血）涉及高風險醫療程序，在 NCLEX 標準中，輸血的初步監測與不穩定病人的觀察必須由 RN 執行。選項 C 給予常規肌肉注射抗生素，屬於 LPN 執業範圍內的穩定技術操作，因此是最合適的授權對象。
The core of delegation lies in distinguishing the scope of practice between the RN and the LPN. The RN is responsible for the TAPE elements: Teaching, Assessment, Planning, and Evaluation. Administratively, the LPN can perform stable nursing skills. Option B (admission assessment) and option D (developing a teaching plan) both involve assessment and planning and must be performed by the RN. Option A (monitoring a blood transfusion) involves a high-risk procedure; by NCLEX standards, initial monitoring of a transfusion and assessment of an unstable client must be performed by the RN. Option C, administering a scheduled intramuscular antibiotic, is a stable technical skill within the LPN's scope of practice and is therefore the most appropriate task to delegate.
在美國，LPN 的給藥權限（尤其是 IV 藥物）視各州護理法規而定，但肌肉注射通常是通用的；台灣則無 LPN 與 RN 的法定任務嚴格區隔，臨床上多依醫院內規進行分工，且台灣護士職級已逐漸取消，全面轉向護理師職稱。