Examkin

Soru

Zorluk: OrtaAssignment, Delegation and Supervision

During a midday staffing reconfiguration on a cardiovascular step-down unit, a registered nurse (RN) must distribute client care activities among the nursing team, which includes a licensed practical nurse (LPN) and an unlicensed assistive personnel (UAP). Which of the following task assignments are within the appropriate scope of practice? Select all that apply.

  1. Delegating the UAP to record the hourly fluid intake and urine output for a clinically stable client.Cevap
  2. Assigning the LPN to administer scheduled oral beta-blockers and perform a sterile dressing change.Cevap
  3. C
    Instructing the UAP to provide oral feeding assistance to a client exhibiting signs of acute dysphagia.
  4. D
    Directing the LPN to formulate the initial home management teaching plan for a client newly diagnosed with atrial fibrillation.
  5. Delegating the UAP to assist with routine hygiene and ambulation for a client who had an uncomplicated pacemaker insertion three days ago.Cevap
  6. F
    Assigning the LPN to assess a client whose telemetry monitor suddenly displays frequent premature ventricular contractions.

Cevap

The appropriate assignments are delegating the UAP to record fluid intake and output for a stable client, assigning the LPN to administer scheduled oral medications and perform sterile dressing changes, and delegating the UAP to assist a stable client with routine hygiene and ambulation.
Appropriate delegation requires adherence to the rights of delegation and the legal scope of practice. The RN can safely delegate routine, standard, and unchanging tasks to the UAP, such as recording intake and output or assisting with hygiene and ambulation for stable clients. The LPN can perform tasks requiring specialized nursing knowledge but not advanced clinical judgment, such as administering scheduled oral medications and performing sterile procedures.

Adım Adım Çözüm

1
Analyze the clinical stability of each client mentioned in the options.
Clients requiring routine intake/output tracking, scheduled medications, and basic hygiene are clinically stable. Clients with acute dysphagia, newly diagnosed conditions requiring education, and sudden cardiac arrhythmias are unstable or require advanced RN judgment.
Safe delegation requires that the client's condition be predictable and stable when assigning tasks to LPNs or UAPs.
2
Evaluate the UAP assignments against their scope of practice.
Recording intake/output and assisting with hygiene for stable clients are appropriate. Feeding a client with acute dysphagia is inappropriate due to the high risk of aspiration and need for assessment.
UAPs do not have the training to conduct clinical assessments or intervene during acute complications.
3
Evaluate the LPN assignments against their scope of practice.
Administering oral medications and performing sterile dressing changes are appropriate. Formulating initial teaching plans and assessing an unstable client with new arrhythmias are inappropriate.
The RN cannot delegate tasks requiring the nursing process (EAT: Evaluation, Assessment, Teaching) or advanced clinical judgment.

Anahtar Kavram

Delegation and Scope of Practice for LPNs and UAPs
Bu soruyu puanla

Konular

Assignment, Delegation and Supervision

Bu konudan daha fazla soru