護理師督導 LPN 照護高血壓病人，何種行動需要介入？
A nurse is supervising an LPN/LVN who is caring for a client with hypertension. Which action by the LPN/LVN requires the nurse to intervene?
- APlanning the client's discharge education for home monitoring✓ 正解規劃病人居家監測的出院衛教
- BAdministering the scheduled dose of lisinopril給予定時的 lisinopril 劑量
- CAssessing the client's blood pressure prior to medication administration給藥前評估病人的血壓
- DInstructing the client on a low-sodium diet指導病人低鈉飲食
護理指派（Delegation）必須符合護理師執業範疇（Scope of Practice）。LPN/LVN 可以執行常規護理程序，如給藥、監測生命徵象和基礎衛教；然而，護理計畫（Nursing Care Plan）的制定、評估（Assessment）與出院規劃（Discharge Planning）屬於 RN 的專屬核心職責，因為這些任務需要高度的批判性思考與個案管理整合能力。
Discharge planning requires the comprehensive assessment and critical thinking skills of a registered nurse and is outside the scope of practice for an LPN/LVN. While LPNs can administer medications, monitor vital signs, and provide basic dietary instruction, the development of the care plan and discharge education oversight must remain with the RN.
在美國，LPN/LVN 的教育與執業範疇與 RN 有明確法律界定。在台灣，護理師與護士在臨床分工上界線相對模糊，但依據護理人員法，複雜的照護計畫與決策仍由護理師負責。