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照護管理 · EASY · MCQ

外科護理長正評估分派任務。哪項任務需要唯有註冊護理師 (RN) 才具備的專門專業知識?

An experienced surgical charge nurse evaluates delegating tasks precisely. Which task requires the specialized professional knowledge strictly exclusive to the registered nurse (RN)?

  • AAssisting an actively stable post-operative client out into a locked chair.
    協助活動穩定的術後病人移至固定椅。
  • BAdministering oral acetaminophen to a client actively reporting minor joint pain.
    給予主訴輕微關節痛的病人口服乙醯胺酚。
  • CProviding detailed comprehensive preoperative teaching to a client scheduled for a pancreatectomy tomorrow.✓ 正解
    為明天安排胰臟切除術的病人提供詳細全面的術前衛教。
  • DDocumenting routine standard vital signs accurately.
    準確記錄常規標準生命徵象。
Explanation · 中文詳解

本題旨在考驗護理師對任務分派 (Delegation) 原則的理解,特別是區分註冊護理師 (Registered Nurse, RN) 的專屬職責、執業護理師 (Licensed Practical Nurse, LPN) 或執業職業護理師 (Licensed Vocational Nurse, LVN) 的職責,以及未經執照輔助人員 (Unlicensed Assistive Personnel, UAP) 的職責。RN 的專屬職責通常包括需要批判性思考、臨床判斷、評估、教學和綜合性護理計畫的任務。衛教,特別是詳細且複雜的術前衛教,需要 RN 具備深入的醫學知識和溝通技巧,以評估病患的學習需求、提供客製化資訊並確保病患理解,因此是 RN 的專屬任務。

This item tests the principles of delegation, specifically distinguishing tasks exclusive to the registered nurse (RN) from those that may be delegated to licensed practical/vocational nurses (LPN/LVN) or unlicensed assistive personnel (UAP). RN-exclusive tasks generally involve critical thinking, clinical judgment, assessment, teaching, and comprehensive care planning. Detailed, complex preoperative teaching for a major procedure such as pancreatectomy requires deep knowledge of anatomy, physiology, surgery, complications, and postoperative care, along with assessment of the patient's learning needs and psychological state—making it an RN-exclusive responsibility.

✦ 台美臨床差異

衛教專屬RN,世界皆同。

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