— 照護管理 · MEDIUM · SATA —
護理師分配照顧小組，哪些任務適合交給執業護理師（LPN/LVN）執行？（選所有適合的）
A nurse is delegating care for a group of clients. Which tasks are appropriate for the nurse to assign to a Licensed Practical Nurse (LPN/LVN)? (Select all that apply.)
- AAdministering oral medications✓ 正解給予口服藥物
- BChanging a chronic wound dressing✓ 正解更換慢性傷口敷料
- CConducting the initial admission assessment進行初次入院評估
- DReinforcing teaching provided by the RN✓ 正解強化護理師提供的衛教
- EMonitoring a client receiving an IV blood transfusion監測接受靜脈輸血的病人
— Explanation · 中文詳解 —
LPN/LVN 在護理團隊中屬於技術執行者。其執業範圍（Scope of practice）包含給藥、穩定的傷口護理及強化 RN 已提供的衛教。然而，RN 必須保留所有涉及「評估」（Assessment）、「分析」（Analysis）、「診斷」（Diagnosis）與「計畫」（Planning）的專業判斷工作。高風險治療（如輸血）也需由 RN 負責。
LPNs/LVNs can safely administer oral medications, perform wound care on stable chronic wounds, and reinforce teaching previously provided by the RN. These tasks fall within their technical scope of practice. However, initial assessments, complex planning, and monitoring high-risk procedures like blood transfusions remain the responsibility of the RN.