護理師正在進行團隊工作分配,下列哪些任務適合指派給執業護士(LPN/LVN)?(選所有適合的)
A nurse is delegating care for a group of clients. Which of the following tasks are appropriate to assign to a Licensed Practical Nurse (LPN/LVN)? (Select all that apply.)
- AAdministering oral medications to stable clients✓ 正解對穩定客戶給予口服藥物
- BDeveloping the initial plan of care for a new admission為新入院客戶擬定初始照護計畫
- CPerforming a sterile dressing change on an abdominal wound✓ 正解對腹部傷口進行無菌敷料更換
- DReinforcing teaching provided by the Registered Nurse✓ 正解強化註冊護理師所提供的衛教內容
- EInitiating a blood transfusion for an anemic client為貧血客戶開始輸血
NCLEX 考試重點在於區分 RN 與 LPN 的護理執業範疇(Scope of Practice)。RN 負責核心評估、臨床判斷、擬定照護計畫及高風險護理程序(如輸血、給予 IV 推注藥物)。LPN 的角色在於執行已建立的照護計畫、提供穩定病人的常規護理,以及在 RN 指導下協助衛教。此題考驗考生對於任務委派(Delegation)的安全性判斷,需排除需要複雜評估與決策的項目。
LPNs are qualified to administer oral medications to stable clients, perform sterile dressing changes, and reinforce teaching previously provided by the RN. However, they cannot develop initial plans of care, which requires RN assessment skills, nor can they initiate blood transfusions, a high-risk procedure reserved for RNs.
在美國,LPN/LVN 執業範疇受各州護理委員會(BON)嚴格規範。與台灣護理師(RN)與護士(Nurse/Assistant)的職責劃分相比,美國的 LPN 專業自主性較高,但仍不得執行靜脈注射(IV push)藥物(視各州規定而異)或負責初次評估。