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

Answer and Explanation

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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Correct Answer is C

Explanation

A. Changing the dressing is an action that comes after assessing and selecting the appropriate dressing. Before changing the dressing, the nurse needs to gather information and make decisions about the most suitable type of dressing based on the characteristics of the wound.

B. Selecting the appropriate dressing is an essential step, but before doing so, the nurse should review available dressing types to make an informed decision about which dressing will best meet the needs of the wound. This involves considering factors such as the wound's characteristics, exudate level, and the overall condition of the client.

C. Reviewing available dressing types is the first step because it allows the nurse to assess the wound, gather information about the client's condition, and make an informed decision about the most appropriate dressing. This step ensures that the chosen dressing aligns with the wound's characteristics and promotes optimal healing.

D. Documenting the dressing change is an important step in the process, but it typically occurs after the dressing change has been completed. Documentation is crucial for tracking the client's progress, ensuring continuity of care, and providing a record for other healthcare team members.

A. An RN coordinates the care provided by other team members. B. An RN cares for the same clients throughout their hospitalization. C. An RN links community resources with clients to ensure quality care. D. An RN provides every aspect of care for a group of clients during a shift.

Correct Answer is A

Explanation

A. In team nursing, an RN assumes the role of a team leader or coordinator. The RN oversees and coordinates the care provided by other team members, which may include licensed practical nurses (LPNs), nursing assistants, and other healthcare professionals. The team collaborates to meet the needs of a group of clients.

B. Caring for the same clients throughout their hospitalization is more characteristic of primary nursing, where an RN takes primary responsibility for the care of a specific group of clients.

C. Linking community resources with clients to ensure quality care is more aligned with case management or community health nursing, where the focus is on coordinating services across healthcare settings and connecting clients with appropriate resources.

D. Providing every aspect of care for a group of clients during a shift is not consistent with team nursing. In team nursing, the workload is distributed among team members, and an RN typically coordinates and oversees the care provided by the team.

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A nurse is planning care for four clients. Which of the following tasks are within the nurse's scope of practice?

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