A nurse is reviewing professional standards of care with another nurse. The nurse should identify that which of the following tasks is within the legal scope of practice for an RN?

Offering alternative treatment options to a surgical procedure to a client

Explaining the risks of a surgical procedure to a client

Discussing the benefits of a surgical procedure with a client

Evaluating a client's ability to give consent for a surgical procedure

Answer and Explanation

The Correct Answer is D

A. Offering alternative treatment options to a surgical procedure to a client This task involves making medical decisions, which is outside the RN's scope of practice and is the responsibility of the provider.
B. Explaining the risks of a surgical procedure to a client This task involves providing informed consent, which is the responsibility of the provider.
C. Discussing the benefits of a surgical procedure with a client This task involves providing informed consent, which is the responsibility of the provider.
D. Evaluating a client's ability to give consent for a surgical procedure Assessing a client's understanding and capacity to provide consent is within the RN's scope of practice and ensures that the client is informed and able to make decisions about their care.

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Correct Answer is D

Explanation

A. "Report a firm ridge below the breasts to the provider." A firm ridge along the bottom curve of the breast can be normal. It’s important to distinguish between normal breast tissue and abnormal lumps. Encouraging clients to report any changes or new lumps to the provider is more appropriate.
B. "Keep your arm relaxed at your side on the side you are examining." The correct technique involves raising the arm on the side being examined to help spread out the breast tissue, making it easier to palpate for lumps and abnormalities.
C. "Use your thumb and forefinger to palpate each breast for lumps." The correct technique involves using the pads of the fingers (not the thumb and forefinger) to palpate the breast in a systematic pattern, such as circular motions or vertical strips, to thoroughly check all areas of the breast.
D. "Use firm pressure to palpate near the area of the ribs and chest wall." Using firm pressure is appropriate for palpating deeper tissues closer to the ribs and chest wall, as this helps detect lumps that may not be superficial.

A. "Reward your toddler with a sticker for staying in the car seat during car rides." B. "Discourage your toddler from holding stuffed animals while in the car seat." C. "Pad the shoulder harness with a cloth diaper to prevent irritation." D. "Start the car and keep it in park until your toddler is restrained in the car seat."

Correct Answer is B

Explanation

A. "Reward your toddler with a sticker for staying in the car seat during car rides." While positive reinforcement is important for encouraging desired behavior, it’s not directly related to car seat safety. The focus should be on proper restraint and minimizing distractions.
B. "Discourage your toddler from holding stuffed animals while in the car seatHolding stuffed animals or other objects can interfere with the proper fit and function of the car seat harness, potentially compromising safety during car rides. Encourage parents to keep the car seat area free from distractions and ensure that the harness fits snugly across the child’s shoulders and chest.
C. "Pad the shoulder harness with a cloth diaper to prevent irritation." Adding padding to the shoulder harness is not recommended as it can interfere with the proper fit and function of the car seat harness, potentially compromising safety.
D. "Start the car and keep it in park until your toddler is restrained in the car seat." This is unsafe. The car should never be started until all occupants are properly restrained.

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A nurse is reviewing professional standards of care with another nurse. The nurse should identify that which of the following tasks is within the legal scope of practice for an RN?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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