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Zorluk: OrtaAssignment, Delegation and Supervision

A nursing supervisor is observing a newly licensed nurse delegate tasks to an unlicensed assistive personnel (UAP) on a busy gastroenterology unit. Which of the following delegated tasks indicates a need for the supervisor to intervene?

  1. Directing the UAP to monitor a client's respiratory depth and effort 15 minutes after the administration of an intravenous opioid.Cevap
  2. B
    Requesting the UAP to collect a stool specimen for occult blood testing from a client with suspected peptic ulcer disease.
  3. C
    Instructing the UAP to apply a standard moisture barrier cream to the intact perineal skin of a client with frequent diarrhea.
  4. D
    Assigning the UAP to empty an ileostomy pouch and record the exact volume of liquid effluent on the intake and output flowsheet.

Cevap

The task that requires intervention is directing the UAP to monitor the client's respiratory depth and effort following an intravenous opioid.
The correct answer identifies the unsafe delegation of clinical assessment. Evaluating a client's respiratory status after administering an intravenous opioid is a critical nursing assessment. The registered nurse must retain responsibility for assessing and evaluating client responses to pharmacological interventions, as it requires specialized knowledge and clinical judgment.

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1
Analyze the tasks involving the stool specimen, barrier cream, and ileostomy pouch.
These are identified as standard, routine procedures with predictable outcomes.
UAPs are legally permitted to perform basic hygiene, collect non-sterile specimens, and document routine intake and output on stable clients.
2
Evaluate the task of monitoring respiratory depth and effort post-medication.
This task is identified as requiring nursing assessment and clinical judgment.
Evaluating a client's physiological response to a medication (especially one that can cause respiratory depression) is a core nursing responsibility that falls outside the UAP scope of practice.

Anahtar Kavram

Delegation principles and scope of practice
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Assignment, Delegation and Supervision

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