A licensed practical nurse (LPN/VN) is collaborating with a registered nurse (RN) and assistive personnel (AP) on a progressive care unit. Which action by the LPN/VN demonstrates a correct understanding of scope of practice, delegation boundaries, and legal responsibilities?
- Declining to initiate the primary discharge education for a client with a new diagnosis of heart failure, but offering to reinforce the low-sodium dietary guidelines after the RN completes the initial teaching.Cevap
- BAccepting a delegation from the charge nurse to assume primary care for a client admitted two hours ago with a dynamically changing cardiac arrhythmia.
- CDetailing the potential surgical complications and alternative treatment options to a preoperative client immediately before witnessing the client's signature on the informed consent document.
- DAccessing the electronic health record of an unassigned former client who was transferred to the intensive care unit earlier in the shift to follow up on their pending laboratory results.
Cevap
The LPN/VN should decline to perform the initial discharge education but appropriately offer to reinforce the teaching once the RN has completed the primary instruction.
The correct action demonstrates an accurate understanding of the boundaries of LPN/VN practice. Initial, comprehensive client education requires the clinical judgment and assessment skills of a registered nurse (RN). However, once the RN has completed the primary teaching and established the care plan, the LPN/VN can safely and legally reinforce that information, such as reviewing low-sodium dietary guidelines with the client.
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Anahtar Kavram
LPN/VN Scope of Practice, Delegation, and Ethical Care Boundaries