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 D
Explanation
A. Initiate a 24-hr urine collection for a client who has end-stage kidney disease:
While a 24-hour urine collection is important for assessing kidney function, it is not an urgent task and can be scheduled at a later time without compromising the client's immediate well-being.
B. Change the dressing for a client who has a decubitus ulcer:
Changing the dressing for a decubitus ulcer is important for wound care, but it is not as urgent as addressing respiratory distress in a client with COPD.
C. Administer an antibiotic for a client who has methicillin-resistant Staphylococcus aureus:
Administering an antibiotic for a client with a methicillin-resistant Staphylococcus aureus (MRSA) infection is important, but it is not as immediately critical as ensuring adequate oxygenation in a client with COPD. Respiratory issues take precedence in the hierarchy of priorities.
D. Initiate oxygen therapy via nasal cannula for a client who has COPD.
The priority should be given to tasks that address immediate threats to the client's well-being or safety. In this scenario, initiating oxygen therapy for a client with COPD is a priority because it addresses respiratory distress and hypoxia, which are critical concerns in individuals with COPD. Respiratory interventions take precedence to ensure adequate oxygenation.
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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