— 照護管理 · MEDIUM · MCQ —
護理師正在進行小組病人的護理分配。哪位病人適合分配給執業護理師（LPN/LVN）照護？
A nurse is assigning care for a group of clients. Which client should be assigned to the Licensed Practical Nurse (LPN/LVN)?
- AA client requiring admission assessment and plan of care development需要入院評估和護理計畫發展的個案
- BA client with a stable chronic wound requiring dressing changes✓ 正解需要換藥的穩定慢性傷口個案
- CA client experiencing acute respiratory distress經歷急性呼吸困難的個案
- DA client receiving IV chemotherapy infusion接受靜脈化學治療輸注的個案
— Explanation · 中文詳解 —
LPN/LVN 適合照護病情穩定、可預測的病人。A（初次評估與照護計畫）屬 RN 職責；B（化療）屬高風險靜脈輸液，通常由 RN 執行；D（急性呼吸窘迫）需 RN 進行複雜評估與決策。C 病人狀況穩定且護理措施明確，適合委派給 LPN。
Licensed Practical Nurses (LPNs) are appropriately assigned to clients with stable conditions and predictable outcomes, such as those requiring routine wound care. Tasks involving initial comprehensive assessments, complex care planning, unstable acute conditions, or high-risk intravenous therapies like chemotherapy fall within the Registered Nurse's scope of practice.
✦ 台美臨床差異
台灣無 LPN/LVN 職稱，基層護理工作由護理師（RN）與照服員共同負擔；美國 LPN 角色界線較明確。