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Zorluk: KolayClient Care Assignments and Collaboration

During the morning huddle on an orthopedic unit, the charge nurse distributes daily tasks to the nursing staff. A licensed practical nurse (LPN) is assigned four specific client care activities. Which of the following assigned tasks should the LPN recognize as outside their legal scope of practice and decline to perform?

  1. Administering an intravenous (IV) push dose of morphine for severe postoperative painCevap
  2. B
    Witnessing a client sign the informed consent form for an upcoming joint replacement surgery
  3. C
    Reinforcing the instructions originally provided by the RN regarding incentive spirometry use
  4. D
    Collecting data on the peripheral pulses and capillary refill of a stable postoperative client

Cevap

Administering an intravenous (IV) push dose of morphine for severe postoperative pain
The LPN scope of practice strictly prohibits the administration of intravenous (IV) push medications. This specific route of administration requires the advanced physiological assessment skills and clinical judgment of a Registered Nurse (RN) due to the drug's rapid onset and the potential for immediate, severe adverse reactions. The LPN must advocate for client safety by refusing this delegated task.

Adım Adım Çözüm

1
Evaluate each assigned task against the standard LPN scope of practice and legal boundaries.
Three tasks (witnessing consent, reinforcing teaching, data collection) fall within the LPN scope, while one task (IV push medication) exceeds it.
The LPN is legally obligated to refuse assignments that require the comprehensive assessment, critical thinking, and rapid intervention capabilities of a Registered Nurse.
2
Identify the specific task that poses a safety risk and violates delegation rules if performed by an LPN.
The IV push medication is identified as the out-of-scope task.
IV push medications have an immediate onset of action and carry a high risk for sudden adverse reactions, mandating RN administration.

Anahtar Kavram

LPN Scope of Practice: Intravenous Medications and Task Acceptance
Tahmini Süre:45s
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Konular

Client Care Assignments and Collaboration

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