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Zorluk: OrtaClient Care Assignments and Collaboration

A practical nurse (PN) is assigned to a team of clients on a cardiopulmonary step-down unit. After receiving the shift report, which client's care should the PN immediately discuss with the charge nurse for reassignment to a registered nurse (RN)?

  1. A client admitted yesterday with a pulmonary embolism who is suddenly exhibiting restlessness, confusion, and tachypnea.Cevap
  2. B
    A client with chronic heart failure who requires administration of a scheduled oral loop diuretic and daily weight documentation.
  3. C
    A client awaiting an elective cardioversion who needs a healthcare team member to witness the signature on the procedure consent form.
  4. D
    A client preparing for discharge following a myocardial infarction who requires reinforcement of a low-sodium diet plan.

Cevap

The client with a pulmonary embolism exhibiting sudden restlessness, confusion, and tachypnea.
The client with a pulmonary embolism exhibiting sudden restlessness, confusion, and tachypnea is experiencing acute, unstable changes indicating potential severe hypoxia or a worsening of their condition. This client requires a comprehensive assessment and complex clinical judgment, which are strictly within the scope of practice of the registered nurse (RN). The PN must request this client be reassigned to ensure safe care.

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1
Analyze the PN scope of practice regarding client stability and acuity.
PNs are safely assigned to care for clients with stable conditions and predictable outcomes.
Unstable clients require comprehensive assessment and complex clinical judgment, which are strictly the responsibility of the RN.
2
Evaluate the clinical status of the client with the pulmonary embolism.
The client is demonstrating acute, unstable changes in their neurological and respiratory status (restlessness, confusion, tachypnea).
These sudden changes are critical indicators of hypoxia, requiring immediate comprehensive RN assessment and potential provider intervention.
3
Evaluate the clinical status and required tasks for the remaining clients.
The remaining clients require routine medication administration, witnessing a consent signature, and reinforcement of established teaching.
These clients are stable, and the required tasks fall clearly within the legal scope of practice for a PN.

Anahtar Kavram

Delegation and Scope of Practice based on Client Stability
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Konular

Client Care Assignments and Collaboration

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