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 A
Explanation
A. “Rise slowly when getting out of bed.": Furosemide is a loop diuretic that can cause orthostatic hypotension due to fluid loss. Teaching the client to rise slowly helps prevent dizziness and falls associated with sudden position changes.
B. "Eat foods that are high in sodium.": Sodium intake should be limited in clients with heart failure, as high sodium can worsen fluid retention and counteract the effects of diuretics like furosemide.
C. “Taking furosemide can cause you to be overhydrated.": Furosemide increases urine output and poses a risk of dehydration, not overhydration. Monitoring fluid balance is essential during treatment.
D. "Taking furosemide can cause your potassium levels to be high.": Furosemide can lead to hypokalemia (low potassium), not hyperkalemia. Clients may need potassium supplementation or dietary adjustments to prevent electrolyte imbalance.
Correct Answer is A
Explanation
A. Footboard: A footboard helps maintain the foot in dorsiflexion and prevents it from pointing downward, which is essential in avoiding plantar flexion contractures in clients with limited mobility due to spinal cord injury.
B. Sheepskin heel pad: While this device helps reduce pressure and prevent skin breakdown on the heels, it does not provide structural support to keep the foot in the correct position and therefore does not prevent contractures.
C. Trochanter roll: A trochanter roll is placed alongside the outer thigh to prevent external rotation of the hip, not to support the foot or ankle. It is unrelated to plantar flexion prevention.
D. Abduction pillow: This is used to maintain proper hip alignment, especially after hip surgery. It does not provide support or positioning for the feet and is not effective for preventing foot contractures.
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