Safe and effective care requires nursing staff to strictly adhere to legal practice boundaries and appropriate delegation guidelines. While working on a respiratory step-down unit, which clinical decision by the practical nurse (PN) demonstrates a correct understanding of scope of practice and interprofessional collaboration?
- AAssigning the assistive personnel (AP) to assist with the initial oral feeding of a client admitted three hours ago with a cerebrovascular accident.
- BAnswering a client's specific questions about the potential complication rates of a planned thoracentesis while obtaining their signature on the consent form.
- Relinquishing the care of a client who presents with sudden restlessness and an acute drop in oxygen saturation to the registered nurse (RN).Cevap
- DFormulating a comprehensive, individualized discharge teaching plan for a client recently prescribed a complex regimen of new nebulizer treatments.
Cevap
Relinquishing the care of a client who presents with sudden restlessness and an acute drop in oxygen saturation to the registered nurse (RN).
The correct action demonstrates an understanding that clients experiencing sudden, acute changes in condition (such as restlessness and hypoxia indicating potential respiratory failure) are clinically unstable. Unstable clients require comprehensive physical assessment, data synthesis, and advanced clinical judgment to prevent deterioration. Because these skills fall outside the PN scope of practice, immediate escalation and transfer of primary care to the RN is required for safe practice.
Adım Adım Çözüm
Anahtar Kavram
Scope of Practice and Delegation Rules