護理長正在準備班表。將下列哪位病患委派給實務護理師 (LPN/LVN) 是恰當且安全的？
The designated charge nurse is preparing assignments. Which client is appropriately and safely delegated to a licensed practical nurse (LPN/LVN)?
- AA client requiring hourly continuous advanced intravenous heparin dose titrations.需要每小時連續調整靜脈注射肝素劑量的病人
- BA client admitted two hours ago requiring comprehensive initial admission nursing evaluation.兩小時前入院，需要全面性初次入院護理評估的病人
- CA client displaying an active new profound deep vein thrombosis urgently requiring assessment.出現活動性新發嚴重深層靜脈血栓，急需評估的病人
- DA client exactly 3 days post-appendectomy requiring scheduled oral antibiotics and sterile dressing changes.✓ 正解恰好腹闌尾切除術後三天，需要按時給予口服抗生素和無菌換藥的病人
本題測驗 LPN 的委派範圍。LPN 負責病情穩定、具備可預期結果的個案，並執行標準且非滴注類的藥物給予及無菌護理。選項 D 中，病患術後 3 天進入慢性恢復期，給予常規口服抗生素與『無菌換藥 (sterile dressing changes)』是 LPN 的標準核心工作。選項 A 的 Heparin 滴定、選項 C 的不穩定 DVT 急症評估、選項 B 的初始入院評估全部都是專屬於 RN 的範疇。
Licensed practical nurses (LPNs) are appropriately assigned stable clients with predictable outcomes who require routine tasks such as administering scheduled oral medications and performing sterile dressing changes. Complex assessments, initial admissions, and titration of IV medications like heparin remain within the exclusive scope of the registered nurse.
LPN 不能執行『EAT (評估、評量、衛教)』，給口服藥與無菌換藥是最常考的正確指派。