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Zorluk: OrtaClient Care Assignments and Collaboration

Following a client's arrival at a skilled nursing facility from an acute care hospital, the nursing team convenes to distribute care responsibilities. Which action taken by the practical nurse (PN) indicates a correct application of scope of practice guidelines?

  1. Requesting that the registered nurse (RN) complete the initial comprehensive admission assessment prior to assuming ongoing care of the clientCevap
  2. B
    Explaining the risks and benefits of an upcoming bedside procedure to the client before obtaining the signature on the informed consent form
  3. C
    Administering an intravenous (IV) push dose of an antiarrhythmic medication as prescribed for the client's occasional palpitations
  4. D
    Consulting with a colleague about the client's complex wound care requirements while eating lunch in the facility's common dining area

Cevap

The correct action is requesting that the registered nurse (RN) complete the initial comprehensive admission assessment.
According to national nursing guidelines and the scope of practice, the registered nurse (RN) is responsible for performing the initial comprehensive assessment and developing the initial plan of care for a newly admitted client. The practical nurse (PN) collects data, performs focused assessments, and contributes to the ongoing plan of care, but must defer the initial comprehensive evaluation to the RN.

Adım Adım Çözüm

1
Analyze the scope of practice regarding client assessments for practical nurses.
Initial, comprehensive assessments and the formulation of the initial care plan are strictly the responsibility of the registered nurse (RN).
The PN role involves focused data collection and contributing to ongoing assessments, rather than establishing baseline comprehensive evaluations.
2
Evaluate the remaining actions against delegation, legal, and ethical guidelines.
Explaining procedure risks is the provider's role; IV push medications are outside the PN scope; discussing cases in public areas violates confidentiality.
Safe practice requires adhering to defined scope boundaries, recognizing the limits of informed consent duties, and maintaining strict client privacy.

Anahtar Kavram

Scope of Practice and Safe Client Care Delegation
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