A registered nurse for more than 15 years was concerned when she learned that her hospital was going to let unlicensed nursing assistants start IVs on patients. The nurse knew this was in violation of the scope of nursing practice in her state. Which of the following defines the scope of nursing's professional functions and responsibilities?

Employee assistance programs (EAP)

The US Food and Drug Administration (FDA)

The MedWatch program

State Nurse Practice Acts

Answer and Explanation

The Correct Answer is D

A. Employee assistance programs (EAP) offer support services to employees but do not define the scope of nursing practice.
B. The US Food and Drug Administration (FDA) regulates food and drugs but does not define nursing practice.
C. The MedWatch program is a safety information and adverse event reporting system, not related to defining nursing scope.
D. State Nurse Practice Acts define the legal scope of nursing practice, including what tasks can be delegated to unlicensed personnel, ensuring safe and competent care.

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Correct Answer is C

Explanation

A. Documenting at the end of the shift can lead to errors and omissions, as the nurse may forget specifics.
B. Documenting before administration does not confirm the medication was actually given and can lead to inaccuracies.
C. Immediate documentation after administration ensures accuracy and timeliness, reducing the risk of errors and maintaining an accurate medication record.
D. Delayed documentation increases the risk of forgetting and making errors, which can compromise patient safety.

A. Check the pulse rate for 30 seconds and multiply the result by 2 B. Increase intake of sodium C. Contact the health care provider for heart rate less than 60/min D. Take the medication with food if you develop nausea

Correct Answer is C

Explanation

A. Checking the pulse rate for 30 seconds and multiplying by 2 may not be accurate enough for a medication like digoxin, which requires precise monitoring.
B. Increasing sodium intake is not recommended for heart failure patients as it can worsen fluid retention and exacerbate symptoms.
C. Digoxin can cause bradycardia; therefore, it is crucial for clients to monitor their heart rate and contact their healthcare provider if it falls below 60/min to avoid adverse effects.
D. Taking digoxin with food can help with nausea but is not as critical as monitoring heart rate for potential toxicity.

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Naxlex Comprehensive Predictor Exams

The nurse goes into a patient's room and administers her 0900 medications. When should the nurse document that the medications were given?

Correct Answer is C

Explanation

The nurse is reinforcing teaching with a client who has a new prescription for digoxin to treat heart failure. Which of the following instructions should the nurse include?

Correct Answer is C

Explanation

Upon receiving the assignment for the evening, a nurse notices that two of the patients have the same name. The best way to identify two patients on a medical unit who have the same name is to:

The Joint Commission's stated industry best practice for standard communication is known as:

A nurse is assisting with teaching a class about routes of medication administration. The nurse should include that which of the following routes has the fastest rate of absorption?

Before administering client medications, the nurse must identify the client. Which of the following methods of identification should the nurse use?

A patient weighs 198lbs. The nurse correctly records his weight in kilograms as:

A nurse goes into a patient's room to administer morning medications. The patient states "I don't want that pill. It makes me tired all the time." Which of the following "Patient's Rights" will the nurse be respecting when she does not administer the medication?

A nurse is caring for a group of clients. Which of the following clients should the nurse identify is at the greatest risk of developing medication toxicity?