Examkin

Soru

Zorluk: ZorClient Care Assignments and Collaboration

A charge nurse on a medical-surgical unit is creating shift assignments for a team consisting of Registered Nurses (RNs) and Licensed Practical Nurses (LPNs/VNs). Which assignment is most appropriate to delegate to an LPN/VN?

  1. Administering scheduled oral analgesics and performing focused data collection on the incision site of a client who is 3 days post-operative.Cevap
  2. B
    Completing the comprehensive admission assessment and formulating the initial plan of care for a client newly admitted with an exacerbation of heart failure.
  3. C
    Evaluating the overall effectiveness of a newly implemented, complex pain management regimen for a client experiencing an acute sickle cell crisis.
  4. D
    Explaining the potential risks and complications of a scheduled surgical procedure to a client prior to witnessing the signature on the consent form.

Cevap

The most appropriate assignment for the LPN/VN is administering scheduled oral analgesics and performing focused data collection on the incision site of a stable, 3-day post-operative client.
The LPN/VN is safely assigned to care for stable clients with predictable outcomes. Administering scheduled oral medications and performing focused data collection (such as observing a 3-day post-operative incision) fall squarely within the LPN/VN legal scope of practice. This explicitly contrasts with the RN's responsibility for comprehensive assessments.

Adım Adım Çözüm

1
Analyze the legal scope of practice for the Licensed Practical Nurse (LPN/VN).
LPNs/VNs care for stable clients with predictable outcomes, administer routine medications, and perform focused data collection.
Understanding scope boundaries is required to identify safe delegation.
2
Evaluate the option regarding admission assessment and care planning.
This is outside the LPN/VN scope; comprehensive assessment and initial care planning are exclusively RN responsibilities.
RNs must establish the baseline assessment and plan of care upon admission.
3
Evaluate the option regarding the evaluation of a complex pain regimen.
This is outside the LPN/VN scope; evaluating complex, new interventions requires RN-level clinical judgment.
LPNs/VNs participate in evaluation by collecting data, but the RN completes the comprehensive evaluation of complex regimens.
4
Evaluate the option regarding explaining surgical risks.
This is outside the nursing scope entirely; the healthcare provider must explain risks and benefits for informed consent.
The nurse's role in informed consent is to act as a witness to the signature, not to provide the primary clinical explanation.
5
Evaluate the option regarding oral analgesics and focused data collection.
This is within the LPN/VN scope; the client is stable (3 days post-op), the medication is routine, and the data collection is focused.
This task aligns perfectly with the LPN/VN's capability to care for stable clients with predictable outcomes.

Anahtar Kavram

Delegation and LPN/VN Scope of Practice
Bu soruyu puanla

Konular

Client Care Assignments and Collaboration

Bu konudan daha fazla soru