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Zorluk: KolayClient Care Assignments and Collaboration

During a routine shift evaluation, a clinical supervisor observes a practical nurse (PN) managing unit duties. Which action by the PN indicates correct adherence to professional scope of practice and delegation guidelines?

  1. Directing an assistive personnel (AP) to record the oral fluid intake for a stable client.Cevap
  2. B
    Providing the primary explanation of surgical risks to a client prior to obtaining a consent signature.
  3. C
    Assuming primary care for an unstable client who requires the administration of emergency intravenous push medications.
  4. D
    Discussing the medical history of an assigned client with a colleague while riding in a crowded public elevator.

Cevap

The correct action is directing an assistive personnel (AP) to record the oral fluid intake for a stable client.
Delegating the routine task of recording oral fluid intake for a stable client perfectly aligns with safe delegation principles. Assistive personnel (AP) are trained to perform standard, non-invasive tasks that do not require nursing judgment, allowing the practical nurse to focus on appropriate clinical duties.

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1
Evaluate each choice against the legal scope of practice for a practical nurse (PN).
Identify that delegating routine fluid measurement to an AP is safe, while explaining surgical risks, managing unstable patients, and discussing care in public are violations.
Safe practice requires distinguishing between tasks that can be delegated, tasks that belong to the provider or RN, and actions that breach confidentiality.

Anahtar Kavram

Delegation Guidelines and Scope of Practice for the Practical Nurse
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