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. “Limit your fluid intake to 500 milliliters per day.”: Severely limiting fluid intake can lead to dehydration and concentrated urine, which may irritate the bladder and worsen symptoms. Adequate hydration is essential for urinary tract health and bladder training.
B. "Plan to urinate every 3 hours while you are awake.”: Scheduled voiding helps train the bladder to hold urine for longer periods and can reduce episodes of urgency and incontinence. A regular schedule is a foundational component of bladder retraining.
C. “Take your diuretic medication with your evening meal.”: Taking diuretics in the evening can lead to nocturia and sleep disruption. These medications should be taken in the morning to avoid increased nighttime urinary frequency.
D. "Decrease your intake of cranberry juice.": Cranberry juice is often encouraged for urinary health, particularly for preventing infections. It does not worsen urge incontinence and does not need to be restricted unless contraindicated for another reason.
Correct Answer is A
Explanation
A. Place locks at the tops of exterior doors: Clients with Alzheimer’s disease are at high risk for wandering. Installing locks out of the client’s line of sight, such as at the tops of doors, enhances safety by reducing the chance of unsupervised exit.
B. Wear clothing with zippers instead of buttons: While simplifying clothing is helpful, Velcro or elastic waistbands are typically easier for clients with cognitive decline than zippers, which can still be difficult to manage.
C. Encourage physical activity prior to bedtime: Physical activity should be scheduled earlier in the day. Stimulating activity near bedtime may worsen sleep disturbances or contribute to sundowning in clients with Alzheimer’s disease.
D. Replace the carpet with hardwood floors: Removing carpet can increase the risk of slipping and falling. Soft flooring like carpet may actually provide better traction and cushion in the event of a fall.
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