— 照護管理 · EASY · MCQ —
護理師在內外科病房進行護理分配，下列哪位病人最適合交由實務護士（LPN/LVN）照護？
A nurse is working in a medical-surgical unit and is assigning care for a group of clients. Which client is most appropriate for a Licensed Practical Nurse (LPN)?
- AA client newly admitted with suspected pulmonary embolism因疑似肺栓塞新入院的病人
- BA client requiring complex intravenous medication titration需要複雜靜脈藥物劑量調整的病人
- CA client with a chronic, stable stage 2 pressure ulcer requiring dressing change✓ 正解患有慢性且穩定的第二期壓瘡，需要換藥的病人
- DA client experiencing acute respiratory distress經歷急性呼吸窘迫的病人
— Explanation · 中文詳解 —
LPN 的照護範圍應侷限於穩定且可預測的病人。慢性、穩定的傷口換藥屬於常規照護，風險低且過程明確，符合 LPN 的執業範圍。其他選項均涉及急性、複雜或不穩定狀況，必須由註冊護理師（RN）執行評估、判斷與優先級處理。
Licensed Practical Nurses (LPNs) are appropriately assigned to clients with stable conditions and predictable outcomes, such as managing a chronic, stable stage 2 pressure ulcer. Complex assessments, unstable diagnoses like suspected pulmonary embolism, acute respiratory distress, and IV medication titration require the advanced clinical judgment and scope of practice of a Registered Nurse (RN).
✦ 台美臨床差異
美國 LPN 執業範圍明確且常與 RN 分工；台灣護理系統無 LPN 職位，幾乎所有臨床照護皆由 RN 執行，但實習護理師角色與其類似。