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Soru

Zorluk: OrtaClient Care Assignments and Collaboration

A coordinating registered nurse (RN) at a subacute rehabilitation center delegates several clinical tasks to a practical nurse (PN). To maintain compliance with national scope of practice boundaries, which task is appropriate for the PN to accept?

  1. A
    Creating the initial nursing care plan for a client newly admitted with advanced dementia.
  2. B
    Administering a prescribed intravenous (IV) push medication to a client experiencing a sudden cardiac dysrhythmia.
  3. C
    Providing primary discharge education regarding complex fluid restrictions to a client with heart failure.
  4. Inserting a prescribed indwelling urinary catheter and obtaining a sterile urine specimen from a stable client.Cevap

Cevap

Inserting a prescribed indwelling urinary catheter and obtaining a sterile urine specimen from a stable client.
Inserting a urinary catheter and collecting a sterile specimen are established, routine clinical skills that do not require independent RN-level judgment, making this an appropriate assignment for a PN caring for a stable client.

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1
Evaluate the clinical stability of the client and the complexity of each delegated task.
Identify that initial care planning, IV push medications for acute conditions, and primary education involve unstable clients or high-level clinical reasoning.
The PN must ensure accepted tasks do not require the independent clinical judgment, comprehensive assessment, or advanced physiological intervention reserved for the RN.
2
Analyze the task of inserting an indwelling catheter and collecting a specimen for a stable client.
Determine that this is a predictable, protocol-driven sterile procedure.
Executing standard sterile skills on stable clients falls squarely within the educational preparation and legal boundaries of the practical nurse.

Anahtar Kavram

Practical Nurse Scope of Practice and Delegation Boundaries
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Konular

Client Care Assignments and Collaboration

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