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 D

Explanation

A. The statement "You can resume sexual activity 2 days after you complete your antiviral treatment" is incorrect. Chlamydia is a bacterial infection, and the standard treatment is with antibiotics, not antivirals. Additionally, the client should wait until they have completed the full course of antibiotics and have been re-evaluated by their healthcare provider before resuming sexual activity to prevent the spread of the infection.

B. The statement "Your sexual partners can receive a chlamydia vaccine to protect against infection" is incorrect. As of my last knowledge update in January 2022, there is no chlamydia vaccine available. Chlamydia is typically treated with antibiotics, and preventing transmission involves safe sexual practices and partner notification.

C. The statement "Chlamydia is an incurable infection that causes a thick, curd-like discharge" is incorrect. Chlamydia is a curable bacterial infection, and it may or may not cause symptoms. It does not typically cause a thick, curd-like discharge; that description is more characteristic of a yeast infection.

D. The statement "The law requires a report of each case of chlamydia to the local health department" is correct. Chlamydia is a notifiable disease, meaning healthcare providers are legally required to report cases to the local health department. This reporting is essential for public health surveillance, tracking the prevalence of the infection, and implementing measures to control its spread.

Correct Answer is ["3"]

Explanation

To calculate the volume (mL) that the nurse should administer, we can follow these steps:

Convert the weight from pounds to kilograms.

1 lb = 0.453592 kg
165 lb×0.453592 kg/lb≈74.843 kg

Calculate the total dose using the weight and prescribed dose:

Total Dose (units)=Dose per kg×Weight (kg)
Total Dose=8 units/kg×74.843 kg≈598.744 units

Determine the volume using the concentration of the available solution:

Volume (mL)=Total Dose (units)/Concentration (units/mL)
Volume =598.744 units/200 units/mL ≈ 2.994 mL

Therefore, the nurse should administer approximately 3 mL of calcitonin for the 8 units/kg IM dose, rounded to the nearest whole number.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has a new diagnosis of chlamydia. Which of the following instructions should the nurse include in the teaching?

Correct Answer is D

Explanation

A nurse is preparing to administer calcitonin 8 units/kg IM to a client who weighs 165 lb. Available is 200 units/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["3"]

Explanation

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