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照護管理 · MEDIUM · SATA

護理長可以將下列哪些任務委派給執行護理師(LPN/LVN),照顧一位全髖關節置換術後兩天的病人?(選所有適合的)

Which tasks can the charge nurse appropriately delegate to a licensed practical nurse (LPN) for a client who is two days post-operative following a total hip arthroplasty? (Select all that apply.)

  • AAdministering oral pain medication as scheduled✓ 正解
    按時給予口服止痛藥
  • BAssessing the neurovascular status of the operative extremity✓ 正解
    評估手術肢體的神經血管狀態
  • CPerforming the initial admission nursing assessment
    執行初次入院護理評估
  • DReinforcing teaching on hip precautions✓ 正解
    複習髖關節注意事項的教育
  • EChanging the surgical dressing using sterile technique✓ 正解
    使用無菌技術更換手術傷口敷料
Explanation · 中文詳解

依據護理委派原則,LPN 可執行常規給藥、生命徵象監測、傷口照護及衛教複習。首要評估(initial assessment)涉及病人狀況的診斷與護理計畫制定,必須由註冊護理師(RN)執行。此處病人術後兩天為穩定狀態,LPN 可勝任上述四項任務。

Licensed practical nurses can safely administer scheduled oral medications, reinforce teaching on hip precautions, and perform sterile dressing changes for stable postoperative clients. They are also qualified to conduct focused neurovascular assessments of the operative extremity. However, the initial admission assessment requires the advanced clinical judgment of a registered nurse to establish the plan of care.

✦ 台美臨床差異

台灣無 LPN 職位,所有護理工作由 RN(護理師/護士)共同承擔,委派對象差異較大。

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