— 照護管理 · EASY · MCQ —
內外科病房護理長規劃輪班工作指派，哪位病人最適合交給執業護理師（LPN/LVN）照顧？
A charge nurse on a medical-surgical unit is planning assignments for the shift. Which client is most appropriate to assign to a licensed practical nurse (LPN)?
- AA client newly admitted with suspected pulmonary embolism新入院疑似肺栓塞的病人
- BA client with a stable wound infection requiring daily dressing changes✓ 正解傷口感染穩定，需每日換藥的病人
- CA client requiring titration of intravenous nitroglycerin需要調整靜脈注射硝酸甘油的病人
- DA client who just returned from a total hip arthroplasty with neurovascular checks pending剛從全髖關節置換術回來，待進行神經血管評估的病人
— Explanation · 中文詳解 —
指派原則中，護理師應將穩定、可預測的病人交給 LPN。B 選項屬於常規照護，病情穩定，適合 LPN 完成。A、C、D 均涉及急性病情變化、複雜藥物滴定或手術後初期神經血管評估，這屬於註冊護理師（RN）的專業職責範疇。
The charge nurse should assign the client with a stable wound infection requiring daily dressing changes to the LPN, as this involves routine care for a stable patient. Clients with suspected pulmonary embolism, those requiring IV nitroglycerin titration, and post-operative patients needing neurovascular assessments have unstable or complex conditions that require the advanced assessment and judgment skills of an RN.
✦ 台美臨床差異
美國護理體系嚴格區分 RN 與 LPN/LVN 職責，台灣護理師多為全科執行，無此類職責分配差異。