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Zorluk: OrtaClient Care Assignments and Collaboration

A practical nurse (PN) at a subacute cardiac facility is organizing the daily workflow for a group of clients. While collaborating with a registered nurse (RN) and an unlicensed assistive personnel (UAP), the PN must make several decisions regarding client assignments and unit communication. Which action demonstrates safe and legally appropriate execution of the PN's role?

  1. Instructing the UAP to calculate and record the shift intake and output for a client prescribed routine oral furosemide.Cevap
  2. B
    Assuming primary care for a newly admitted client from the intensive care unit who requires continuous titration of an intravenous vasoactive medication.
  3. C
    Providing the initial briefing on clinical risks and intended outcomes of a pacemaker placement before the client signs the surgical consent form.
  4. D
    Discussing a client's sudden change in cardiac rhythm with a visiting sibling who is absent from the designated privacy authorization release form.

Cevap

Instructing the UAP to calculate and record the shift intake and output for a client prescribed routine oral furosemide.
The correct action demonstrates adherence to the Five Rights of Delegation. Recording intake and output is a non-complex, repetitive task with predictable results that safely falls within the scope of practice of unlicensed assistive personnel (UAP), allowing the PN to focus on tasks requiring licensure.

Adım Adım Çözüm

1
Evaluate the delegation task involving the UAP.
The PN determines that measuring and recording intake and output is a routine, standard task suitable for delegation.
UAPs are trained to handle basic data collection tasks that do not involve nursing assessment, teaching, or clinical judgment.
2
Analyze the ICU transfer client assignment.
The PN identifies that managing continuous intravenous vasoactive titration is strictly out of scope.
Vasoactive infusions indicate an unstable client condition requiring continuous, advanced RN-level physiological assessment.
3
Assess the PN's legal responsibility regarding informed consent.
The PN recognizes they cannot be the primary person explaining the surgical risks.
Legal guidelines dictate that the provider performing the procedure must explain the risks and benefits; the nurse acts only as a witness to the signature.
4
Review privacy and confidentiality protocols.
The PN restricts medical information sharing to authorized individuals only.
Sharing protected health data with family members not listed on the official release form violates HIPAA and federal privacy laws.

Anahtar Kavram

Scope of Practice and Safe Delegation Principles for the Practical Nurse (PN)
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Konular

Client Care Assignments and Collaboration

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