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Zorluk: OrtaClient Care Assignments and Collaboration

A practical nurse (PN) is prioritizing tasks and reviewing client needs at the start of a shift on a medical-surgical unit. Which planned action by the PN is appropriate and falls within their established scope of practice?

  1. A
    Assuming primary care for a client who has just developed sudden, unexplained hypotension and tachycardia.
  2. B
    Educating a client about the potential risks, benefits, and surgical alternatives prior to a scheduled cholecystectomy.
  3. Acting as a witness to a client's signature on an informed consent form after the healthcare provider has discussed the procedure.Cevap
  4. D
    Sharing a client's new infectious disease diagnosis with an assistive personnel (AP) who is working on the unit but not assigned to the client.

Cevap

Acting as a witness to a client's signature on an informed consent form after the healthcare provider has discussed the procedure.
The correct action demonstrates an accurate understanding of the PN's role in the informed consent process. The healthcare provider is responsible for explaining the procedure, while the PN may legally serve as a witness to the client's signature.

Adım Adım Çözüm

1
Analyze the PN's scope of practice regarding client stability.
The PN is authorized to care for stable clients with predictable outcomes. A client with sudden hypotension and tachycardia is unstable and must be reassigned to a Registered Nurse.
To eliminate tasks that require RN-level comprehensive assessment and clinical judgment.
2
Evaluate the PN's role in the informed consent process.
The healthcare provider explains the procedure, risks, and alternatives. The PN may only serve as a witness to confirm that the client signed voluntarily.
To distinguish between provider responsibilities and nursing scope regarding consent.
3
Assess the boundaries of client confidentiality in delegation.
Medical information must only be shared with healthcare team members who are directly involved in that specific client's care on a strictly 'need-to-know' basis.
To identify actions that violate privacy laws and established confidentiality standards.

Anahtar Kavram

The practical nurse's scope of practice is limited to stable clients with predictable outcomes, reinforcing teaching, witnessing consent signatures, and strictly maintaining confidentiality among direct care providers.
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Client Care Assignments and Collaboration

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