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Zorluk: KolayClient Care Assignments and Collaboration

The charge nurse on a medical-surgical floor is creating client assignments for the upcoming shift. Which of the following clients are most appropriate to assign to a licensed practical nurse (LPN)? (Select all that apply.)

  1. A client with chronic obstructive pulmonary disease (COPD) scheduled to receive a routine inhaled bronchodilator.Cevap
  2. B
    A client admitted one hour ago with acute chest pain whose cardiac enzyme results are pending.
  3. A client three days postoperative following an appendectomy who is tolerating a regular diet.Cevap
  4. D
    A client diagnosed with sepsis who requires the immediate initiation of a broad-spectrum intravenous antibiotic.
  5. A client with type 2 diabetes mellitus requiring scheduled blood glucose monitoring and subcutaneous insulin.Cevap
  6. F
    A client receiving a continuous intravenous heparin infusion for the treatment of a newly diagnosed deep vein thrombosis.

Cevap

The most appropriate clients to assign to the LPN are the client with COPD receiving a routine inhaler, the client who is three days postoperative, and the client with diabetes requiring insulin.
Licensed practical nurses (LPNs) are assigned to care for clients whose conditions are chronic, stable, and have predictable outcomes. The correct selections involve clients requiring routine medication administration (inhalers and subcutaneous insulin) and a client progressing as expected after an uncomplicated surgery, all of which fall within the LPN scope of practice.

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1
Analyze each client's condition for stability and predictability.
The COPD client, postoperative client, and diabetic client have stable, predictable conditions. The clients with chest pain, sepsis, and a heparin infusion have unstable or complex conditions.
The LPN scope of practice is limited to caring for clients with stable conditions and predictable outcomes.
2
Determine if the required care interventions fall within the LPN scope of practice.
Administering routine inhalers and subcutaneous insulin are within the LPN scope. Conducting initial assessments for acute chest pain, initiating IV antibiotics for sepsis, and titrating continuous IV heparin are outside the LPN scope.
Assigning clients requiring complex RN-level assessment or advanced intravenous therapies to an LPN is unsafe.

Anahtar Kavram

Delegating and accepting client care assignments based on the licensed practical nurse (LPN) scope of practice
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Konular

Client Care Assignments and Collaboration

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