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Question

Difficulty: EasyClient Care Assignments and Collaboration

A nursing team on a medical-surgical unit consists of a Registered Nurse (RN), a Licensed Practical/Vocational Nurse (LPN/VN), an Unlicensed Assistive Personnel (UAP), and a Health Care Provider (HCP). Match each client care task to the most appropriate healthcare team member based on their scope of practice.

  • Formulating the initial plan of care for a newly admitted clientRegistered Nurse (RN)
  • Reinforcing previous dietary teaching for a client with diabetesLicensed Practical/Vocational Nurse (LPN/VN)
  • Emptying a urinary drainage bag and recording the volumeUnlicensed Assistive Personnel (UAP)
  • Explaining the risks and alternatives of a proposed surgical procedureHealth Care Provider (HCP)

Answer

Formulating the initial care plan is performed by the Registered Nurse (RN). Reinforcing previous teaching is performed by the Licensed Practical/Vocational Nurse (LPN/VN). Emptying the urinary drainage bag is performed by the Unlicensed Assistive Personnel (UAP). Explaining surgical risks is performed by the Health Care Provider (HCP).
Each healthcare team member has a legally defined scope of practice that must be followed for safe client care. The HCP is responsible for medical diagnoses and obtaining informed consent. The RN handles initial assessments, care planning, and initial teaching. The LPN/VN cares for stable clients, performs routine procedures, and reinforces teaching. The UAP performs basic, routine, and unchanging tasks like hygiene and basic intake/output measurement.

Step-by-Step Solution

1
Determine the appropriate role for emptying a urinary drainage bag.
This is matched to the Unlicensed Assistive Personnel (UAP).
UAPs handle routine, unchanging daily care and basic data collection tasks that do not require nursing judgment.
2
Determine the appropriate role for reinforcing previous dietary teaching.
This is matched to the Licensed Practical/Vocational Nurse (LPN/VN).
LPN/VNs provide care for stable clients and can reinforce education that has already been initiated by the RN.
3
Determine the appropriate role for formulating the initial plan of care.
This is matched to the Registered Nurse (RN).
Initial comprehensive assessments and care planning require the advanced clinical judgment and scope of an RN.
4
Determine the appropriate role for explaining the risks and alternatives of a surgical procedure.
This is matched to the Health Care Provider (HCP).
Obtaining informed consent, which includes explaining medical risks and alternatives, is legally the responsibility of the provider performing the procedure.

Key Concept

Scope of Practice and Safe Delegation
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Topics

Client Care Assignments and Collaboration

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