— 照護管理 · EASY · MCQ —
護理師在內外科病房進行工作分配，下列哪位病人最適合交由執照實務護理師（LPN/LVN）照護？
A nurse is working on a medical-surgical unit and is assigning care for a group of clients. Which client is most appropriate to assign to a Licensed Practical Nurse (LPN/LVN)?
- AA client newly admitted with suspected sepsis因疑似敗血症新入院的病人
- BA client requiring discharge education for a new colostomy需要針對新造口進行出院衛教的病人
- CA client experiencing acute respiratory distress經歷急性呼吸窘迫的病人
- DA client with a stable chronic wound requiring sterile dressing change✓ 正解病情穩定且需要無菌換藥的慢性傷口病人
— Explanation · 中文詳解 —
LPN 的照護範圍應侷限於穩定、可預測的病人。傷口換藥屬於技術性護理，適合 LPN 執行。敗血症病人（A）和呼吸窘迫病人（C）病情變化快且危急，必須由 RN 評估處置。出院衛教（B）涉及護理計畫調整與評估，也需由 RN 負責。
An LPN/LVN is appropriately assigned to a client with a stable chronic wound requiring a sterile dressing change, as this involves predictable tasks and technical skills. Clients with sepsis, acute respiratory distress, or those needing complex discharge teaching require the advanced assessment and judgment capabilities of an RN due to their instability or educational complexity.
✦ 台美臨床差異
美國 LPN 執照範疇明確且受法律規範；台灣護理師與護士執照範圍無此細分，皆由護理師執行所有臨床照護。