— 照護管理 · MEDIUM · MCQ —
護理長正在規劃班表，下列哪位病人適合分配給執業護理師（LPN/LVN）？
A charge nurse is planning assignments for the shift. Which of the following clients should be assigned to a LPN/LVN?
- AA newly admitted client requiring comprehensive assessment一位需要全面評估的新入院病人
- BA client with a stable condition needing routine dressing changes✓ 正解一位病情穩定且需要常規換藥的病人
- CA client experiencing acute alcohol withdrawal symptoms一位出現急性酒精戒斷症狀的病人
- DA client requiring titration of IV vasoactive drugs一位需要調整靜脈血管活性藥物劑量的病人
— Explanation · 中文詳解 —
LPN/LVN 的執業範圍包括照護穩定的病人、執行常規的醫療程序。涉及急性不穩定、需持續調控用藥、或需要進行完整護理評估（Comprehensive Assessment）的病人，必須由 RN（註冊護理師）承擔，因為這些情形需要深入的病理判斷與即時決策。
LPNs/LVNs are appropriately assigned to clients with stable conditions who require routine tasks, such as dressing changes, which fall within their scope of practice. Complex assessments, acute unstable conditions, and medication titrations require the advanced clinical judgment and assessment skills of an RN.
✦ 台美臨床差異
美國 RN/LPN 職責分界嚴謹；台灣護理師體系無此細分，皆為執業護理師，工作範疇由資歷決定。