A newly licensed nurse is unsure if an assigned task is within their scope Of practice. Which Of the following resources should the nurse consult?
Institutional policies and procedures
Verbal direction from the nurse manager
State Nurse Practice Act
Written prescription from the provider
The Correct Answer is C
A. Institutional policies and procedures: While institutional policies provide guidance on how tasks are performed within a facility, they cannot legally expand or limit a nurse’s scope of practice. Nurses must always ensure tasks are permitted by state law first.
B. Verbal direction from the nurse manager: Managers may offer direction, but their guidance should not override legal regulations. Relying solely on verbal instructions risks performing tasks outside the legal scope of practice, which can lead to liability issues.
C. State Nurse Practice Act: The Nurse Practice Act is a legal document specific to each state that defines the scope of practice for nurses. It outlines what tasks are legally permissible and serves as the most authoritative reference for professional responsibilities.
D. Written prescription from the provider: Although a provider can order treatments or procedures, nurses are still responsible for ensuring those actions fall within their legal scope. Following a prescription without verifying legality may result in practicing beyond licensure.
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Related Questions
Correct Answer is B
Explanation
A. Carbamazepine: This medication is primarily used for long-term seizure control but is not effective in stopping an active status epilepticus episode due to its slower onset of action.
B. Lorazepam: Lorazepam is a benzodiazepine with rapid onset that is the first-line treatment to quickly stop seizures during status epilepticus, providing immediate central nervous system depression to control convulsions.
C. Clonazepam: Although clonazepam is a benzodiazepine used for seizure management, it is less commonly used in acute status epilepticus due to slower onset and availability of more effective alternatives like lorazepam.
D. Lamotrigine: Lamotrigine is an anticonvulsant used for maintenance therapy in seizure disorders, but it does not act quickly enough to manage status epilepticus emergencies.
Correct Answer is D
Explanation
A. "The client was intubated without complications.": While relevant to the surgical process, this detail is more critical in the operating or PACU setting and less essential for ongoing post-op care unless complications occurred.
B. "The client is a member of the board of directors.": This is not clinically relevant and violates the client’s confidentiality by sharing unnecessary personal information.
C. "There was a total of 10 sponges used during the procedure.": Sponge count is important intraoperatively, but it is not typically necessary in a hand-off unless a count discrepancy occurred.
D. "The estimated blood loss was 250 milliliters.": This is clinically relevant and necessary for postoperative monitoring. It informs the receiving nurse about potential volume loss and the need to monitor for signs of hypovolemia.
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