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Zorluk: OrtaClient Care Assignments and Collaboration

A practical nurse (PN) is reviewing the plan of care and delegated tasks for a group of clients on a medical-surgical unit. Which of the following actions by the PN represents safe and appropriate practice?

  1. Reinforcing the registered nurse's initial teaching regarding incision care for a client preparing for discharge.Cevap
  2. B
    Explaining the potential risks and benefits of a surgical procedure to a client to obtain informed consent.
  3. C
    Accepting a care assignment for a hemodynamically unstable client requiring frequent intravenous (IV) push medications.
  4. D
    Applying soft wrist restraints to a confused client prior to implementing and evaluating less restrictive alternatives.

Cevap

Reinforcing the registered nurse's initial teaching regarding incision care for a client preparing for discharge.
The correct answer identifies an action that falls perfectly within the practical nurse's legal scope of practice. While registered nurses must perform initial comprehensive assessments and initial client education, practical nurses are responsible for reinforcing that teaching, collecting ongoing data, and reporting findings to the supervising RN.

Adım Adım Çözüm

1
Evaluate each action against the legal scope of practice for a practical nurse (PN) and standards of safe care.
Identify tasks that are appropriate for a PN versus those that require a registered nurse (RN) or provider, or violate safety protocols.
Ensuring client safety requires delegating and accepting tasks that align with licensure and established safety guidelines.
2
Analyze the option regarding informed consent.
Determine that explaining procedure risks is the provider's responsibility, not the PN's.
The PN may only witness the signature on the consent form.
3
Analyze the option regarding unstable clients and IV push medications.
Determine that unstable clients and IV push administration exceed the PN's scope of practice.
These require the advanced assessment and clinical judgment of an RN.
4
Analyze the option regarding physical restraints.
Determine that applying restraints before trying alternatives violates safety protocols.
Less restrictive measures must always be attempted and documented first.
5
Analyze the option regarding reinforcing teaching.
Determine that reinforcing teaching is appropriate for the PN.
While the RN performs initial education, the PN is permitted and expected to reinforce established teaching plans.

Anahtar Kavram

The practical nurse's scope of practice emphasizes care for stable clients with predictable outcomes, reinforcing established teaching, and adhering to standard safety protocols (such as using least restrictive measures and properly witnessing informed consent).
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Client Care Assignments and Collaboration

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