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Zorluk: OrtaClient Care Assignments and Collaboration

A practical nurse (PN) receives a list of delegated tasks from the charge nurse on a general medical unit. Which of the following tasks should the PN accept as appropriate for their legal scope of practice?

  1. Administering scheduled enteral feedings and reinforcing dietary education for a client with a stable gastrostomy tube.Cevap
  2. B
    Completing the comprehensive admission assessment and formulating the initial care plan for a client transferred from the emergency department.
  3. C
    Explaining the surgical risks and alternative treatment options to a client before asking them to sign an operative consent form.
  4. D
    Providing a detailed clinical update regarding a client's condition to visiting family members in the unit waiting room.

Cevap

The correct assignment is administering scheduled enteral feedings and reinforcing dietary education for a client with a stable gastrostomy tube.
The practical nurse (PN) scope of practice includes performing established, routine procedures on stable clients, such as administering enteral feedings. Additionally, while the registered nurse (RN) is responsible for initial client education, the PN is authorized to reinforce that previously taught information.

Adım Adım Çözüm

1
Analyze the scope of practice for a practical nurse (PN) regarding client care tasks.
The PN is authorized to perform routine, predictable tasks on stable clients and reinforce client education.
Safe delegation requires assigning tasks that align with the legal boundaries of nursing practice.
2
Evaluate the remaining options for scope of practice violations, legal boundaries, or safety concerns.
Comprehensive assessments, explaining surgical risks, and discussing client information in public areas are outside the PN's scope or violate ethical standards.
Identifying out-of-scope or unsafe actions prevents client harm and legal or ethical violations.

Anahtar Kavram

Practical Nurse Scope of Practice and Safe Delegation
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