A newly licensed nurse is unsure if an assigned task is within their scope Of practice. Which Of the following resources should the nurse consult?
Institutional policies and procedures
Verbal direction from the nurse manager
State Nurse Practice Act
Written prescription from the provider
The Correct Answer is C
A. Institutional policies and procedures: While institutional policies provide guidance on how tasks are performed within a facility, they cannot legally expand or limit a nurse’s scope of practice. Nurses must always ensure tasks are permitted by state law first.
B. Verbal direction from the nurse manager: Managers may offer direction, but their guidance should not override legal regulations. Relying solely on verbal instructions risks performing tasks outside the legal scope of practice, which can lead to liability issues.
C. State Nurse Practice Act: The Nurse Practice Act is a legal document specific to each state that defines the scope of practice for nurses. It outlines what tasks are legally permissible and serves as the most authoritative reference for professional responsibilities.
D. Written prescription from the provider: Although a provider can order treatments or procedures, nurses are still responsible for ensuring those actions fall within their legal scope. Following a prescription without verifying legality may result in practicing beyond licensure.
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Related Questions
Correct Answer is A
Explanation
A. Determine if the stockings are binding: It's essential to assess for proper fit to ensure the stockings are not too tight, which could impair circulation. Antiembolic stockings should support venous return without creating constriction that could cause pressure injuries or vascular compromise.
B. Massage the client's legs once every 8 hr while the stockings are in place: Massaging the legs, especially in clients at risk for thromboembolism, can dislodge clots and lead to embolic events. This practice is contraindicated.
C. Fold the top of the stocking over neatly: Folding the top of the stockings creates a constrictive band, which can impair circulation and negate the benefits of the stockings. They should remain smooth and flat along the leg.
D. Apply the stockings after the client is in a chair: Stockings should be applied while the client is lying down with legs elevated. This reduces venous pressure and ensures proper compression once the client becomes upright.
Correct Answer is A,C,B,D
Explanation
A. Rolls from back to side typically occurs around 4 months of age, as the infant gains initial control of trunk and limbs. This is one of the earliest gross motor milestones.
B. Sits steadily unsupported generally develops by about 8 months, showing further improvement in core strength and postural control.
C. Rolls from back to abdomen follows around 5–6 months, demonstrating increased muscle coordination and control over the trunk and neck.
D. Changes from prone to sitting usually occurs between 9 to 10 months and indicates advanced coordination, enabling independent movement and transition between positions.
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