# RN正在將照護工作指派給一位持照實務護士。哪項任務最為適當？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=394145&lang=zh-tw  
> language: zh-TW  
> subject: Assignment/Delegation/Supervision  
> category: MOC

## 題目

RN正在將照護工作指派給一位持照實務護士。哪項任務最為適當？

## 選項

1. 為一名病情穩定的術後病人加強衛教並更換無菌敷料 **✔ 正確答案**
2. 為正在經歷敗血性休克的個案調整靜脈輸注升壓藥的滴速
3. 對新入院的敗血症個案進行全面的初步評估
4. 為多重創傷入院的個案制定初步照護計畫

**正確答案: 1**

## 解析

持照實務護士可為病情穩定的個案提供照護，並在職責範圍內執行如加強衛教與更換敷料等任務，視政策而定。初步評估、擬定照護計畫及調整血管活性藥物劑量需要護理師的職責範圍與專業判斷。護理師仍須承擔督導責任。

## 深入解析

臨床判斷
指派工作取決於病情穩定性、可預測性及執業範圍。

記憶提示
LPN：病情穩定、重點式、在執業範圍內。

## 臨床情境

臨床實務指引
授權和指派工作需要將病人需求與工作人員的能力及法定執業範圍相匹配。

注意
勿將需要 RN 初步判斷的任務指派給輔助或實務護理角色。

## 重要概念

- **持照實務護士 (Licensed Practical Nurse)** — 一名持照護士，其執業範圍側重於在指導下提供特定的護理照護。
- **加強衛教 (Reinforce Teaching)** — 複習先前已教導過的資訊，而非提供初次衛教。
- **執業範圍 (Scope of Practice)** — 某個角色的法律和專業界限。

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