Discussion Nektalova Client Question & Answer Guide (With Explanation)

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Original Question

M3 discussion Y NEKTALOVA reply1 Client 1: Room 422 A: A 49-year-old male client admitted two days ago with hypertension and peripheral vascular disease. The client underwent a stenting procedure to the left popliteal artery one day ago. The client is expected to be discharged home later today. The best decision is to assign the patient to unlicensed assistive personnel (UAP). The client is stable and is being prepared for discharge. The tasks involved at this stage include activities of daily living, ambulation, and providing education about discharge. The UAP can effectively handle these activities. The UAP is also expected to report any unexpected changes to the RN so that they can carry out further evaluation. According to the National Council of State Boards of Nursing & the American Nurses Association. (2019), the licensed nurse cannot delegate nursing judgment or any activity that will involve nursing judgment or critical decision-making. Therefore, there will be monitoring for discharge readiness that will be communicated to the RN. The RN can handle discharge teaching as they will review the patient’s discharge instructions with the patient and family in regard to their diet, activity restriction, and follow-up care. They will also ensure that the patient understands their medication and prescriptions. It is also their mandate to conduct a final assessment to ensure that the patient is stable and ready for discharge. Client 2: Room 423: A 70-year-old female was admitted yesterday with a diagnosis of community-acquired pneumonia. She is afebrile with stable vital signs. She has a saline lock in place and is receiving IV antibiotics every 8 hours. She is on oxygen at 2L/minute; her oxygen saturation was 93-95% on the previous shift. The patient is stable at the moment but will require an assessment to determine progress. The LPN can effectively handle this situation as the patient is stable and only requires routine care. These include activities like medication administration, as IV antibiotics will be administered every eight hours. The LPN will also monitor the patient’s vital signs regularly and document the findings. They will also conduct oxygen therapy, ensuring the patient is comfortable with the recommended 2L/minute therapy. The LPN is also sufficiently qualified to carry out assessment activities such as checking lung sounds, respiratory rate, and oxygen saturation. All activities required to manage the patient’s condition must fall under the LPN’s scope of practice (National Council of State Boards of Nursing & American Nurses Association, 2019). Additionally, they can report to the RN if vitals are outside of normal parameters. Client 3: Room 424: A 67-year-old female was admitted with an exacerbation of COPD three days ago. The client is receiving IV solumedrol every 8 hours and is on oxygen at 2L/minute nasal cannula with oxygen saturations of 89%. The case will be assigned to the Registered Nurse (RN), as they require care that is under the scope of practice of the RN (National Council of State Boards of Nursing & American Nurses Association, 2019). The client is receiving solumedrol after every eight hours and will likely require an IV push. The patient is very likely to become unstable with an SPO2 of 89% on 2l of oxygen. An oxygen saturation below 90% requires close monitoring and frequent reassessment (Echevarria et al., 2021). Some of the procedures required include evaluation of lab assessments of her lungs, capillary refill, and level of consciousness to evaluate for signs of decline. The RN’s advanced training allows for comprehensive respiratory assessment, titration of oxygen if needed, and evaluation of the effectiveness of steroid therapy. QUESTION: Response to Classmates You are required to make responses. Review what your peer have posted and comment on peers’ posts. Respond to peers by answering the following questions: Do you agree with their assignments? Provide a rationale for your decision. What would you change about their assignment?

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