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Zorluk: KolayAssignment, Delegation and Supervision

While coordinating care in an outpatient pulmonary clinic, the nurse distributes tasks among the healthcare team. Which client care activity is most appropriate to delegate to the unlicensed assistive personnel (UAP)?

  1. A
    Demonstrating the correct technique for using a newly prescribed metered-dose inhaler.
  2. B
    Asking the client if their baseline shortness of breath has improved since the last visit.
  3. Recording the current body weight of a client returning for a routine follow-up check.Cevap
  4. D
    Determining if a client's peak flow meter results require a change in their medication dosage.

Cevap

Recording the current body weight of a client returning for a routine follow-up check.
The correct answer is recording the current body weight of a client. The delegation of tasks to an unlicensed assistive personnel (UAP) must follow the fundamental principles of nursing scope of practice. Tasks assigned to a UAP should be routine, standard, and have predictable outcomes. Obtaining a client's weight is a basic data collection task that does not involve independent clinical judgment, assessment, or evaluation, making it entirely safe and legal for the UAP to perform.

Adım Adım Çözüm

1
Identify the scope of practice and legal boundaries for an unlicensed assistive personnel (UAP).
The UAP can safely perform routine, standard, and unchanging tasks on stable clients.
Delegation frameworks dictate that tasks requiring nursing judgment, assessment, or teaching cannot be delegated.
2
Evaluate the clinical requirements of each proposed activity.
Teaching inhaler use, evaluating symptom improvement, and interpreting peak flow results all require clinical judgment.
Applying the 'EAT' acronym (Evaluate, Assess, Teach) helps rule out tasks inappropriate for a UAP.
3
Select the activity that involves gathering basic data without the need for analysis.
Recording body weight is chosen as the correct delegation.
Measuring weight is a standardized procedure with predictable results.

Anahtar Kavram

Delegation of routine, non-complex tasks to Unlicensed Assistive Personnel
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