— 照護管理 · EASY · MCQ —
護理師在內外科病房進行護理分配。哪位病人最適合分配給技術性護理師（LPN/LVN）照護？
A nurse is working on a medical-surgical unit and is assigning care for a group of clients. Which client should the nurse assign to a Licensed Practical Nurse (LPN/LVN)?
- AA client who is being admitted with an acute stroke因急性中風入院的病人
- BA client requiring dressing changes for a stage 2 pressure injury✓ 正解需要為第2期壓瘡進行敷料更換的病人
- CA client with a new diagnosis of unstable angina requiring frequent cardiac monitoring新診斷為不穩定型心絞痛且需頻繁進行心臟監測的病人
- DA client receiving their first dose of IV chemotherapy接受第一次靜脈化學治療的病人
— Explanation · 中文詳解 —
LPN/LVN 的執業範圍適合照護病情穩定（stable）且狀況可預測（predictable）的病人。更換二級壓瘡敷料屬於常規技術性護理；不穩定心絞痛、急性中風新入院以及初次化療藥物給藥，皆涉及複雜評估與潛在風險，需由 RN 負責。
The nurse should assign the client requiring dressing changes for a stage 2 pressure injury to the LPN/LVN, as this involves routine wound care for a stable client. Clients with acute stroke, unstable angina, or those receiving their first dose of IV chemotherapy require complex assessments and high-risk interventions that must be managed by the RN.
✦ 台美臨床差異
美國 LPN 執業範圍在各州不同但明確；台灣護理人員與專科護理師分工明確，臨床較少細分 LPN 層級，多由 RN 負責所有病人。