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Zorluk: OrtaEmergency Response and Hazardous Materials

A severe storm has caused structural damage to a rehabilitation center, triggering the facility's internal disaster protocol. The healthcare team is rapidly relocating clients and organizing care. Which assignment is most appropriate for the licensed practical nurse (PN) to accept?

  1. Administering a prescribed intramuscular analgesic to a stable client who sustained a minor soft tissue injury.Cevap
  2. B
    Conducting the initial clinical assessment and triage of a client newly extracted from the damaged wing.
  3. C
    Attempting verbal de-escalation techniques with an agitated client who is actively throwing heavy debris.
  4. D
    Managing the care of a client with a pelvic fracture who is developing mild tachycardia and slight hypotension.

Cevap

The correct assignment is administering a prescribed intramuscular analgesic to a stable client who sustained a minor soft tissue injury.
The correct assignment represents safe, routine care for a stable client. The PN scope of practice includes administering intramuscular medications to clients with predictable outcomes. In a disaster scenario, delegating straightforward procedures to the PN maximizes team efficiency and allows the RN to focus on complex triage.

Adım Adım Çözüm

1
Identify the context of the clinical scenario.
The facility is executing an internal disaster protocol due to severe structural damage.
Understanding the emergency context highlights the need for efficient and safe delegation of tasks according to strict scopes of practice.
2
Evaluate the acuity and stability of each client described in the options.
The clients in the incorrect options are either newly extracted, exhibiting signs of shock, or presenting an immediate physical threat.
Unstable clients, clients in an active behavioral crisis, or those requiring initial complex assessment must be managed by an RN or security personnel.
3
Determine the appropriate task for the practical nurse.
Administering IM medication to a stable client with a minor injury safely aligns with established PN capabilities.
Delegating routine, predictable care to the PN is standard emergency practice, allowing RNs to allocate their expertise to life-threatening situations.

Anahtar Kavram

During an internal disaster, the licensed practical nurse (PN) should be assigned to care for stable clients with predictable outcomes, allowing the registered nurse (RN) to manage triage, initial assessments, and unstable clients.
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Emergency Response and Hazardous Materials

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