An experienced practical nurse (PN) is working a day shift on a mixed-acuity inpatient ward. Throughout the shift, the PN encounters several situations requiring clinical decision-making regarding task delegation and practice limitations. Which action taken by the PN indicates a correct understanding of practice boundaries and safety standards?
- ATaking primary responsibility for a client who requires titration of a continuous intravenous insulin infusion based on hourly blood glucose readings
- BExplaining the procedural steps and specific risks of a scheduled colonoscopy to the client prior to obtaining their signature on the informed consent document
- CReassuring a client's family members by discussing the client's unexpected critical laboratory values while standing in the facility cafeteria
- Notifying the charge nurse that a newly admitted client experiencing acute diabetic ketoacidosis must be assigned to a registered nurse (RN)Answer
Answer
The correct action is notifying the charge nurse that a newly admitted client experiencing acute diabetic ketoacidosis must be assigned to a registered nurse (RN).
The correct answer demonstrates an understanding that clients with acute, highly unstable conditions like diabetic ketoacidosis require comprehensive assessment, frequent reassessment, and complex nursing judgment. These responsibilities exceed the practical nurse (PN) scope of practice, making it appropriate and legally necessary for the PN to advocate for an RN assignment for this client.
Step-by-Step Solution
Key Concept
Practical Nurse Scope of Practice and Safe Client Assignment