Examkin

Soru

Zorluk: ZorAssignment, Delegation and Supervision

A registered nurse (RN) is coordinating care on a cardiovascular step-down unit with the assistance of an unlicensed assistive personnel (UAP). Which clinical task is most appropriate for the RN to delegate to the UAP?

  1. Emptying the urinary catheter drainage bag and recording the output for a client receiving a continuous intravenous infusion of furosemide.Cevap
  2. B
    Assisting a client to eat lunch 15 minutes after the client received sublingual nitroglycerin for an acute episode of angina.
  3. C
    Documenting the color, consistency, and hourly volume of drainage from a newly inserted pleural chest tube.
  4. D
    Ambulating a client to the bathroom for the first time since returning from a percutaneous coronary intervention via the right femoral artery.

Cevap

Emptying the urinary catheter drainage bag and recording the output for a client receiving a continuous intravenous infusion of furosemide.
The scope of practice for an unlicensed assistive personnel (UAP) includes routine, standard procedures such as obtaining vital signs, assisting with activities of daily living (ADLs), and measuring intake and output. For a client receiving continuous intravenous diuretics, emptying the urinary catheter bag and recording the volume is a standard data collection task that does not require clinical judgment. The RN safely delegates this physical task while retaining the responsibility of evaluating the total fluid balance and interpreting the client's physiological response to the medication.

Adım Adım Çözüm

1
Analyze the client's condition and the nature of the task in each option.
Identify whether the task involves assessment, clinical judgment, teaching, or evaluation (which cannot be delegated).
The National Council of State Boards of Nursing (NCSBN) guidelines prohibit delegating nursing judgment or complex assessments to a UAP.
2
Evaluate the clinical stability of each client.
The clients in three of the scenarios have unstable conditions or are experiencing acute changes (recent angina, new chest tube, initial post-procedure ambulation).
Safe delegation to a UAP requires the client to be medically stable with predictable outcomes.
3
Select the task that falls strictly within the routine scope of practice for a UAP.
Emptying a urinary drainage bag and recording the volume is identified as the appropriate task.
While the client is receiving continuous IV diuretics, the physical act of measuring and recording the output does not require clinical judgment. The RN retains the responsibility for interpreting the fluid balance data.

Anahtar Kavram

Delegation of routine data collection to Unlicensed Assistive Personnel (UAP)
Bu soruyu puanla

Konular

Assignment, Delegation and Supervision

Bu konudan daha fazla soru