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Zorluk: OrtaClient Care Assignments and Collaboration

A practical nurse (PN) is collaborating with a registered nurse (RN) and an assistive personnel (AP) to provide care on a busy nephrology unit. Which of the following tasks is most appropriate for the RN to delegate to the PN?

  1. Administering a scheduled subcutaneous injection of epoetin alfa to a client with chronic kidney disease.Cevap
  2. B
    Completing the comprehensive admission assessment and initial care plan for a client newly transferred from the emergency department.
  3. C
    Explaining the potential risks and anticipated outcomes of a scheduled renal biopsy to a client to obtain informed consent.
  4. D
    Discussing a client's recent transition to end-stage renal disease with their family members in the unit's public waiting room.

Cevap

Administering a scheduled subcutaneous injection of epoetin alfa to a client with chronic kidney disease.
The correct answer involves administering a routine medication via a subcutaneous route to a client with a chronic, stable condition. This task requires focused data collection and standard medication administration skills, which are well within the legal scope of practice for a practical nurse (PN).

Adım Adım Çözüm

1
Analyze the role and scope of practice of the practical nurse (PN) versus the registered nurse (RN) and assistive personnel (AP).
PNs are licensed to perform focused data collection, administer routine medications, and reinforce teaching for clients with predictable outcomes.
Delegation decisions must align with state board of nursing regulations and the NCSBN five rights of delegation.
2
Evaluate each provided option against the legal boundaries of the PN scope of practice.
Administering a subcutaneous injection to a stable client is a routine medication administration task safely within the PN's scope. The other options involve RN-only responsibilities, provider-level informed consent duties, or HIPAA violations.
Identifying the single task that represents safe, legal, and effective PN practice reveals the correct delegation choice.

Anahtar Kavram

Delegation, Scope of Practice, and Interprofessional Collaboration
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