— 照護管理 · MEDIUM · MCQ —
護理師（RN）與護士（LPN）合作。下列哪位病人最適合交由 LPN 照顧？
A registered nurse (RN) is working with a licensed practical nurse (LPN). Which client assignment is most appropriate for the LPN?
- AA client with a new onset of confusion and neurological deficits新發意識混亂與神經學缺損的病人
- BA client requiring IV titration of norepinephrine需要靜脈滴定去甲腎上腺素的病人
- CA client who needs reinforcement of teaching about insulin administration✓ 正解需要強化胰島素注射衛教的病人
- DA client requiring admission assessment for chest pain因胸痛需要入院評估的病人
— Explanation · 中文詳解 —
根據護理職責範圍，RN 負責初始評估、複雜護理計劃制定與高風險治療（如靜脈輸注滴定）。LPN 可以在 RN 的監督下執行常規護理、給藥與衛教加強。Reinforcement of teaching（加強衛教）屬於 LPN 可執行的範圍，而初始評估、複雜評估與危急給藥皆需 RN 親自執行。
Licensed Practical Nurses (LPNs) can reinforce teaching previously initiated by the Registered Nurse (RN) under appropriate supervision. Assignments involving initial assessments, unstable clients with acute neurological changes, or titration of vasoactive medications require the advanced scope of practice of an RN.
✦ 台美臨床差異
台灣護理體系中多為 RN，LPN 對應職位（護士）已逐漸減少，工作權限劃分不如美國明確。