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Zorluk: OrtaAssignment, Delegation and Supervision

While coordinating morning care on a pediatric respiratory ward, a registered nurse (RN) works alongside a licensed practical/vocational nurse (LPN/VN) and an unlicensed assistive personnel (UAP). Which of the following task delegations by the RN demonstrates a correct understanding of the scope of practice?

  1. Requesting the LPN/VN to administer a scheduled oral corticosteroid to a 10-year-old client with a stable asthma exacerbation.Cevap
  2. B
    Instructing the UAP to bottle-feed a 4-month-old infant who was recently admitted with severe bronchiolitis and exhibits nasal flaring.
  3. C
    Directing the UAP to show a teenager's parents how to properly assemble a new spacer device for a metered-dose inhaler.
  4. D
    Asking the UAP to observe and evaluate a preschooler's work of breathing following an albuterol nebulizer treatment.

Cevap

Requesting the LPN/VN to administer a scheduled oral corticosteroid to a 10-year-old client with a stable asthma exacerbation.
The correct answer demonstrates safe delegation because administering routine oral medications to a client whose condition is stable is a standard and safe task for an LPN/VN. This adheres to the principles of safe delegation and utilizes the nursing team effectively.

Adım Adım Çözüm

1
Analyze the client acuity and task requirements in each option.
Identify whether the task involves initial assessment, clinical judgment, teaching, or evaluation, and whether the client is stable or unstable.
The RN cannot delegate tasks requiring nursing judgment or the care of physiologically unstable clients to LPN/VNs or UAPs.
2
Evaluate the tasks delegated to the unlicensed assistive personnel (UAP).
Feeding an infant with acute respiratory distress, demonstrating equipment assembly, and evaluating breathing post-treatment all fall outside the UAP's scope of practice.
UAPs can only perform routine, standard tasks for stable clients. They cannot teach, evaluate, or care for clients with high aspiration or stability risks.
3
Evaluate the task delegated to the licensed practical/vocational nurse (LPN/VN).
Administering a scheduled oral medication to a stable 10-year-old client is identified as appropriate.
LPN/VNs are educated and licensed to administer routine oral medications to stable clients with predictable outcomes.

Anahtar Kavram

Delegation and Scope of Practice
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Konular

Assignment, Delegation and Supervision

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