Examkin

Soru

Zorluk: OrtaAssignment, Delegation and Supervision

At 1400 hours on an infectious disease unit, a registered nurse (RN) must distribute care tasks to a licensed practical/vocational nurse (LPN/VN) and an unlicensed assistive personnel (UAP). Which delegation decision demonstrates safe and effective care management?

  1. Asking the LPN/VN to administer a scheduled oral antibiotic to a client recovering from a mild, uncomplicated Clostridioides difficile infection.Cevap
  2. B
    Instructing the UAP to demonstrate to a client with active pulmonary tuberculosis how to properly seal an N95 respirator mask.
  3. C
    Directing the LPN/VN to formulate the initial individualized care plan for a client who just arrived with suspected bacterial meningitis.
  4. D
    Assigning the UAP to obtain the next set of vital signs for a client with sepsis whose mean arterial pressure has been steadily declining over the last hour.

Cevap

Asking the LPN/VN to administer a scheduled oral antibiotic to a client recovering from a mild, uncomplicated Clostridioides difficile infection.
The correct answer is assigning the LPN/VN to administer a routine oral medication to a stable client. The National Council of State Boards of Nursing (NCSBN) delegation guidelines state that LPN/VNs are educated to administer oral medications and care for clients with predictable, stable outcomes.

Adım Adım Çözüm

1
Analyze the scope of practice for the LPN/VN in the provided options.
The LPN/VN can administer oral medications to stable clients but cannot formulate initial nursing care plans.
Initial assessment and care planning require the advanced clinical judgment of the RN.
2
Analyze the scope of practice for the UAP in the provided options.
The UAP can take vital signs on stable clients but cannot provide initial teaching or care for unstable clients.
Teaching and assessing unstable clients fall outside the UAP's scope of practice.
3
Evaluate the clinical stability of the clients described.
The client with a declining mean arterial pressure is unstable. The client recovering from a mild Clostridioides difficile infection is stable.
Delegation decisions must account for both the complexity of the task and the acuity of the client.

Anahtar Kavram

Delegation and Scope of Practice based on Client Acuity
Bu soruyu puanla

Konular

Assignment, Delegation and Supervision

Bu konudan daha fazla soru