下列哪幾位病人適合指派給技術護理師(LPN)照顧?(選所有適合的)
Which clients are appropriate for a registered nurse (RN) to assign to a licensed practical nurse (LPN)? (Select all that apply.)
- AA client with an uncomplicated pneumonia requiring oral antibiotics✓ 正解患有單純性肺炎且需口服抗生素的客戶
- BA client newly admitted with a diagnosis of unstable angina新入院診斷為不穩定型心絞痛的客戶
- CA client 3 days postoperative with a stable abdominal wound dressing✓ 正解術後三天且腹部傷口敷料穩定的客戶
- DA client requiring a complex tracheostomy care and frequent suctioning需要複雜氣切護理及頻繁抽吸的客戶
- EA client with a well-controlled chronic condition needing daily insulin✓ 正解患有慢性狀況且每日需注射胰島素的客戶
NCLEX 指派原則(Delegation)強調 LPN 適合照護病情「穩定(stable)」且具「可預測性(predictable)」護理需求的病人。RN 必須負責評估(Assessment)、診斷、教學(Teaching)與高複雜度的照護。不穩定心絞痛(B)屬急性不穩定,複雜氣切照護(D)需專業呼吸評估,兩者均超出 LPN 的執業範圍與責任邊界。
LPNs are appropriately assigned to clients with stable, predictable conditions such as uncomplicated pneumonia, stable postoperative wounds, and well-controlled chronic diseases requiring routine insulin administration. These tasks fall within their scope of practice, unlike unstable or complex assessments reserved for RNs.
美國各州對 LPN/LVN 的執業範圍(Scope of Practice)規定差異很大。NCLEX 考試採用的是全國標準,即 LPN 不得執行「初次評估(Initial Assessment)」與「教學(Teaching)」,RN 必須保留所有分析與判斷的決策權。