Question

Difficulty: MediumClient Care Assignments and Collaboration

A practical nurse (PN) employed on an orthopedic rehabilitation unit is organizing their daily tasks following the morning handover. Which planned action indicates that the PN is practicing safely within their legal scope and adhering to professional standards?

  1. Reinforcing weight-bearing restrictions and administering scheduled oral analgesics to a client recovering from a total hip arthroplasty.Answer
  2. B
    Conducting an initial admission physical examination and creating the baseline nursing care plan for a client newly transferred from acute care.
  3. C
    Detailing the possible surgical complications and therapeutic options to a client prior to securing their signature on a consent document.
  4. D
    Providing a verbal handoff report regarding a client's changing neurological status to the physical therapist while riding in a public elevator.

Answer

The correct action is reinforcing weight-bearing restrictions and administering scheduled oral analgesics to a client recovering from a total hip arthroplasty.
The correct answer demonstrates appropriate application of the PN scope of practice. Administering scheduled oral medications to a stable client and reinforcing education that was initially provided by a Registered Nurse (RN) or physical therapist are fundamental tasks within the legal scope of the practical nurse. This action ensures safe, effective, and collaborative client care without overstepping professional boundaries.

Step-by-Step Solution

1
Analyze the PN scope of practice regarding client care tasks and teaching.
PNs can administer routine medications and reinforce prior teaching, but cannot perform initial comprehensive assessments.
NCSBN standards reserve comprehensive assessment and initial care planning exclusively for the RN.
2
Evaluate the role of the PN in the informed consent process.
The PN can witness a signature but cannot explain procedural risks, benefits, or alternatives.
Explaining the procedure is the legal responsibility of the healthcare provider.
3
Assess the environmental context for sharing client clinical data.
Discussing client status in a public elevator is a clear HIPAA violation.
Confidential client data must only be discussed in private, secure clinical areas to protect privacy.
4
Select the action that aligns with safe, legal PN practice.
The option involving reinforcing restrictions and giving oral analgesics is the correct choice.
These are established, routine tasks firmly within the PN scope of practice.

Key Concept

Practical Nurse (PN) Scope of Practice and Professional Standards
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