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Zorluk: OrtaClient Care Assignments and Collaboration

A practical nurse (PN) is reviewing their assigned tasks and client interactions for a shift on a surgical-telemetry unit. Which of the following actions demonstrate an appropriate understanding of the PN scope of practice and safe client care? Select all that apply.

  1. Obtaining a routine capillary blood glucose reading for a client with a history of diabetes mellitus.Cevap
  2. B
    Explaining the surgical risks and potential complications of a scheduled cholecystectomy to a client.
  3. Reinforcing the initial discharge instructions regarding incisional care previously provided by the registered nurse.Cevap
  4. D
    Discussing a client's newly elevated serum troponin level with the client's spouse in the unit corridor.
  5. Administering scheduled oral pain medication to a client who is two days postoperative and hemodynamically stable.Cevap
  6. F
    Formulating the initial interdisciplinary nursing care plan for a newly admitted client experiencing acute confusion.

Cevap

The actions that demonstrate an appropriate understanding of the PN scope of practice include obtaining a routine capillary blood glucose reading, reinforcing initial discharge instructions previously provided by the registered nurse, and administering scheduled oral pain medication to a stable postoperative client.
The practical nurse provides care for clients with predictable health outcomes under the direction of a registered nurse or provider. Appropriate tasks include routine data collection (like blood glucose checks), reinforcing education that was initially provided by the RN, and administering routine, non-intravenous medications to stable clients.

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1
Evaluate each task to determine if it involves basic data collection, reinforcement of teaching, or care for a stable client.
Obtaining blood glucose, reinforcing discharge teaching, and giving oral medications to a stable client meet these criteria.
The PN scope of practice focuses on caring for clients with predictable outcomes and assisting with established care plans.
2
Identify tasks that require comprehensive assessment, initial planning, or provider-level responsibilities.
Formulating an initial care plan and explaining surgical risks are identified as outside the PN scope.
The RN is responsible for initial assessments and care plan formulation, while the healthcare provider must explain surgical risks for informed consent.
3
Review actions for adherence to legal and ethical standards, such as client privacy.
Discussing lab results in the corridor is identified as a breach of confidentiality.
Nurses are legally obligated to protect client privacy by discussing health information only in private areas.

Anahtar Kavram

Scope of Practice and Safe Care Delivery for the Practical Nurse
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