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照護管理 · MEDIUM · SATA

護理師正在管理多位病人的照護。下列哪些任務適合委派給實務護理師(LPN/LVN)?(選所有適合的)

A nurse is managing the care of multiple clients. Which of the following tasks are appropriate for the nurse to delegate to a Licensed Practical Nurse (LPN/LVN)? (Select all that apply.)

  • AReinforcing teaching about insulin administration to a client✓ 正解
    加強衛教關於病人胰島素的施用
  • BPerforming an initial assessment for a new admission
    為新入院病人進行初次評估
  • CAdministering oral medications to a stable client✓ 正解
    給予穩定病人口服藥物
  • DDressing changes for a chronic wound✓ 正解
    慢性傷口換藥
  • EDeveloping a plan of care for a client with pneumonia
    為肺炎病人制定照護計畫
Explanation · 中文詳解

LPN 的執業範圍包括執行常規護理、給藥及協助護理計畫的執行,但「初次評估」、「制定護理計畫」、「給予 IV 藥物(視各州規定)」及「衛教起始(而非強化)」仍為註冊護理師(RN)之責任。因此,強化既有衛教、給予口服藥與慢性傷口更換敷料符合 LPN 職責。

LPNs can reinforce teaching previously provided by the RN, administer oral medications to stable clients, and perform dressing changes for chronic wounds. Initial assessments, developing care plans, and initiating patient education are reserved for the RN due to the need for complex critical thinking.

✦ 台美臨床差異

台灣醫療體系無 LPN/LVN 職位,其功能多由護理佐理員或低年資護理師承擔,角色定義與美國差異巨大。

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