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Zorluk: OrtaLegal and Ethical Practice

An experienced practical nurse (PN) works in an ambulatory palliative care center. During the shift, the nurse encounters several complex situations. Which of the following actions indicates that the PN is practicing within established legal and ethical boundaries?

  1. Informing the attending provider that administering an intravenous (IV) push analgesic is outside the practical nursing scope of practice.Cevap
  2. B
    Detailing the potential complications of a palliative surgical procedure to ensure the client is fully informed before signing the consent document.
  3. C
    Postponing a report to protective services regarding a vulnerable older adult's unexplained bruises until definitive evidence of maltreatment is discovered.
  4. D
    Updating a colleague from another department about a former client's deteriorating condition during a casual conversation in the facility cafeteria.

Cevap

The correct action is informing the provider that administering an IV push analgesic is outside the PN scope of practice.
Administering intravenous (IV) push medications typically requires advanced assessment skills and clinical judgment that exceed the recognized scope of practice for a practical nurse (PN) in most jurisdictions. By recognizing this limitation, declining the directive, and informing the provider, the PN ensures safe client care and protects their nursing license.

Adım Adım Çözüm

1
Evaluate the scenario against the boundaries of the practical nursing scope of practice and legal mandates.
Identified that the question requires selecting the option that demonstrates safe, legal, and ethical nursing behavior.
Understanding the limits of a PN's licensure is fundamental to providing safe care and avoiding malpractice.
2
Analyze the IV medication directive.
Determined that administering IV push medications is generally outside the PN scope of practice.
IV push medications have rapid onset and require advanced RN-level assessment and intervention skills.
3
Analyze the informed consent action.
Determined that detailing surgical complications is the provider's responsibility, not the PN's.
The PN acts only as a witness to the signature for informed consent, verifying the client's identity and voluntary participation.
4
Analyze the abuse reporting action.
Determined that delaying a report to wait for definitive evidence violates mandatory reporting laws.
Nurses must report based on reasonable suspicion; they are not investigators.
5
Analyze the communication action.
Determined that discussing client status in the cafeteria with an unassigned nurse breaches confidentiality.
HIPAA requires that client information only be shared on a strict 'need-to-know' basis in private settings.

Anahtar Kavram

Legal and Ethical Practice: Scope of Practice and Mandatory Reporting
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Konular

Legal and Ethical Practice

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