A nurse is planning care for four clients. Which of the following tasks are within the nurse's scope of practice?
Teach a client about hemodialysis.
Create a plan of care for a client's discharge.
Assist in checking a unit of packed RBCs to administer to a client.
Regulate the client's infusion pump after initiating a heparin drip infusion
Correct Answer : C,D
A. Teach a client about hemodialysis:
Educating clients about hemodialysis may require specialized knowledge that might exceed the standard nursing scope. However, nurses may provide basic information and support related to the procedure.
B. Create a plan of care for a client's discharge:
Although nurses often contribute to discharge planning by providing input, assessing needs, and communicating with the care team, the creation of a complete discharge plan may involve multidisciplinary collaboration, including social workers, case managers, and physicians.
C. Assist in checking a unit of packed RBCs to administer to a client:
Nurses are often responsible for verifying blood components (like packed red blood cells) before administration, ensuring proper patient identification, compatibility, and correct handling of the blood product.
D. Regulate the client's infusion pump after initiating a heparin drip infusion:
Nurses frequently regulate and monitor infusion pumps after starting medication infusions, ensuring the correct rate of administration according to the prescribed dosage.
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Related Questions
Correct Answer is B
Explanation
A. Completing an incident report is an important step to document the error, but the immediate priority is to assess the client's condition and address any potential adverse effects. Incident reporting can follow once the immediate assessment and interventions are completed.
B. Checking the client's vital signs is the first action to take. The nurse needs to assess the client's physiological response to the double dose, as some medications can have significant effects on vital signs. Monitoring vital signs provides crucial information to determine the client's stability and whether additional interventions are needed.
C. Notifying the charge nurse of the error is an important step, but checking the client's vital signs takes precedence to ensure the client's immediate safety. The charge nurse can be informed after the initial assessment.
D. Documenting the facts of the incident in the nurse's notes is important, but it comes after assessing the client and taking immediate actions to address any potential harm. Documenting the incident helps maintain a comprehensive record and contributes to the overall understanding of the event.
Correct Answer is ["2"]
Explanation
To calculate the volume (mL) that the nurse should administer, you can use the following formula:
- Volume (mL)=Dose (mg)/Concentration (mg/mL)
In this case:
- Volume =30 mg/15mg/mL
- Volume=2mL
Therefore, the nurse should administer 2 mL of ketorolac for the 30 mg loading dose, rounded to the nearest whole number.
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