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Zorluk: OrtaAssignment, Delegation and Supervision

A nurse is organizing the daily care plan for clients on a combined vascular and orthopedic unit. The healthcare team includes an experienced unlicensed assistive personnel (UAP). Which client care task is most appropriate for the nurse to delegate to the UAP?

  1. Ambulating a client in the hallway who had a right knee arthroplasty three days ago and requires standby assistanceCevap
  2. B
    Palpating the distal extremities to monitor circulation in a client recovering from an arterial bypass graft
  3. C
    Placing a client in a high Fowler's position immediately following a left femoral artery catheterization
  4. D
    Providing initial instructions to a client regarding the correct application of anti-embolism stockings

Cevap

Ambulating a client in the hallway who had a right knee arthroplasty three days ago and requires standby assistance
The registered nurse (RN) can safely delegate routine, predictable tasks that do not require nursing judgment to an unlicensed assistive personnel (UAP). Ambulating a client who is three days post-operative and only requires standby assistance is a stable, routine activity that falls securely within the UAP's scope of practice.

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1
Identify the legal scope of practice for an unlicensed assistive personnel (UAP).
UAPs can perform routine, standard tasks for stable clients, such as feeding, bathing, and ambulating.
Understanding delegation laws ensures safe client care and protects the nurse's license.
2
Evaluate the proposed tasks against the core delegation principles (often remembered as the 'EAT' acronym: Evaluate, Assess, Teach).
Palpating extremities involves Assessment. Providing initial instructions involves Teaching. Therefore, neither can be delegated.
The registered nurse must retain tasks that require nursing judgment, assessment, and education.
3
Assess the clinical safety and specific post-procedure requirements for the remaining tasks.
Ambulating a 3-day post-operative client requiring only standby assistance is safe and predictable. However, placing a post-femoral catheterization client in a high Fowler's position is medically contraindicated.
Clients post-femoral catheterization must remain flat to prevent arterial bleeding. Delegated tasks must not pose a risk of harm.

Anahtar Kavram

Delegation and Scope of Practice
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Assignment, Delegation and Supervision

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