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
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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Related Questions
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.
Correct Answer is C
Explanation
A. While itching and hives can be signs of a mild allergic reaction, difficulty breathing and low blood pressure indicate a more severe issue. Treating a severe reaction as mild can delay necessary emergency interventions, potentially leading to life-threatening consequences.
B. The symptoms described, including difficulty breathing and hypotension, suggest a severe, not moderate, allergic reaction. This misjudgment can result in insufficient treatment and delay life-saving measures.
C. Anaphylactic reactions are characterized by symptoms such as hives, difficulty breathing, and low blood pressure, requiring immediate emergency treatment. Prompt recognition and intervention are critical to prevent severe complications or death.
D. Food poisoning typically presents with gastrointestinal symptoms rather than respiratory distress and hypotension. Misdiagnosing an anaphylactic reaction as food poisoning can prevent timely administration of appropriate treatments like epinephrine.
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