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Zorluk: OrtaAssignment, Delegation and Supervision

A care team comprising a registered nurse (RN) and an unlicensed assistive personnel (UAP) is managing a group of postpartum clients. When determining task distribution, which specific activity is most appropriate to assign to the UAP?

  1. A
    Palpating the uterine fundus of a client who returned from the recovery room 30 minutes ago.
  2. B
    Determining whether a client's reported perineal pain requires the administration of a PRN analgesic.
  3. Assisting a client who had an uncomplicated vaginal delivery 24 hours ago with their morning shower.Cevap
  4. D
    Providing instructions to a discharging client regarding the warning signs of postpartum hemorrhage.

Cevap

Assisting a client who had an uncomplicated vaginal delivery 24 hours ago with their morning shower.
Assisting a stable, 24-hour postpartum client with a shower is a routine activity of daily living (ADL). The RN can safely delegate ADLs and basic hygiene care for stable clients to the UAP, as this specific task does not require specialized nursing assessment, evaluation, or teaching.

Adım Adım Çözüm

1
Analyze the UAP's scope of practice in an acute care setting.
UAPs can perform routine, standard procedures and assist with activities of daily living (ADLs) for clinically stable clients.
Identifying permissible tasks is the foundational step in safe and legal delegation.
2
Review the specific activities presented in each option against nursing regulations.
Three activities involve assessment, evaluation, or teaching, while one activity involves basic hygiene care.
Delegation principles dictate that the RN cannot delegate the EAT (Evaluation, Assessment, Teaching) process.
3
Select the task that aligns with UAP capabilities without compromising client safety.
Assisting a stable, 24-hour postpartum client with a shower does not require advanced nursing judgment.
This matches the criteria for the right task, right circumstance, and right person.

Anahtar Kavram

Delegation to Unlicensed Assistive Personnel (UAP)
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Konular

Assignment, Delegation and Supervision

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