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Zorluk: OrtaClient Care Assignments and Collaboration

A charge nurse is distributing client care assignments for the upcoming shift on a step-down unit. Which specific task is legally and safely within the scope of practice for the licensed practical/vocational nurse (LPN/VN) to accept?

  1. Performing routine tracheostomy care and suctioning for a clinically stable client.Cevap
  2. B
    Conducting the comprehensive admission baseline assessment for a client arriving from the intensive care unit.
  3. C
    Detailing the potential medical risks and alternative treatment options for an impending surgical intervention to a client.
  4. D
    Discussing a client's anticipated discharge date and medical needs with a telephone caller identifying themselves as the client's employer.

Cevap

Performing routine tracheostomy care and suctioning for a clinically stable client.
The correct answer identifies a task that involves a sterile procedure on a stable client, which perfectly aligns with the established scope of practice for an LPN/VN. They are trained to manage established airways in predictable situations.

Adım Adım Çözüm

1
Evaluate the clinical stability of the client and the complexity of the task.
Tracheostomy care for a stable client is a standardized procedure with predictable outcomes.
The LPN/VN scope of practice includes performing sterile procedures on stable clients.
2
Analyze the other tasks for scope of practice violations.
Admission assessments, explaining surgical risks, and sharing information with unauthorized individuals are identified as out of scope or legal violations.
These actions require RN-level judgment, provider-level responsibility, or violate privacy laws.
3
Select the task that aligns with the LPN/VN legal boundaries.
The tracheostomy care task is selected as the only appropriate assignment.
It is the only option that safely falls within the practical nursing scope of practice.

Anahtar Kavram

Delegation and Scope of Practice for the LPN/VN
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Konular

Client Care Assignments and Collaboration

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