— 照護管理 · MEDIUM · MCQ —
護理長正在規劃班表，哪位病人應分配給資深註冊護理師（RN）照顧，而不適合交由實務護理師（LPN）？
A charge nurse is planning assignments. Which client should be assigned to an experienced registered nurse (RN) rather than a licensed practical nurse (LPN)?
- AA client needing routine tracheostomy suctioning需要常規氣管切開術抽吸的個案
- BA client receiving IV vancomycin for the first time✓ 正解首次接受靜脈注射萬古黴素的個案
- CA client with a pressure ulcer requiring daily dressing changes需要每日換藥的壓瘡個案
- DA client requiring assistance with oral medication administration需要協助服用口服藥物的個案
— Explanation · 中文詳解 —
初次給予靜脈輸注藥物（尤其是抗生素）存在輸注反應與過敏性休克的風險，屬於具高度不穩定性的醫療處置，法規規範必須由 RN 執行評估與監測。其餘選項皆屬於穩定、常規的護理常規，LPN 在受訓範圍內可執行。
Initial intravenous administration of high-risk medications like vancomycin requires the advanced assessment and monitoring skills of an RN to detect potential infusion reactions or anaphylaxis. Other options involve routine tasks within the LPN scope, such as suctioning stable airways, changing dressings on stable wounds, and administering oral medications.
✦ 台美臨床差異
美國明確區分 RN 與 LPN 之執業範圍；台灣護理體系未區分此職級，皆以護理師（N/RN）為主，工作範疇由資歷決定。