A nurse is teaching a class about providing care within the legal scope of practice to a group of nurses.
The nurse should include that which of the following procedures is outside the legal scope of practice for an RN?
Changing the inner cannula on a tracheostomy.
Inserting a tunneled central venous catheter.
Irrigation of an external ear canal.
Administering a platelet transfusion.
The Correct Answer is D
Choice A rationale:
Changing the inner cannula on a tracheostomy is within the legal scope of practice for registered nurses. Nurses are trained to perform tracheostomy care, including changing the inner cannula. This procedure is within the nursing scope of practice and does not require a physician's intervention.
Choice B rationale:
Inserting a tunneled central venous catheter is within the legal scope of practice for registered nurses. Nurses often insert central venous catheters in various clinical settings, including the emergency department. However, the procedure requires specialized training and competency validation. Nurses must adhere to the institution's policies and procedures and have the necessary skills to perform this task safely.
Choice C rationale:
Irrigation of an external ear canal is within the legal scope of practice for registered nurses. Ear irrigation is a common nursing procedure used to remove impacted cerumen (earwax) and foreign bodies from the ear canal. Nurses are trained to perform this procedure safely and effectively.
Choice D rationale:
This is the correct answer. Administering a platelet transfusion is outside the legal scope of practice for registered nurses. Platelet transfusions involve the administration of blood products, which is considered a high-risk procedure. Only specially trained nurses or healthcare providers, such as transfusion nurses or physicians, are authorized to administer blood products. Administering blood products requires a thorough understanding of compatibility, proper infusion rates, and monitoring for adverse reactions, making it beyond the scope of general nursing practice.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Correct. Opioid medications can cause constipation, and increasing fluid intake helps prevent dehydration and promotes bowel regularity.
B. Incorrect. While some laxatives or stool softeners might be recommended, mineral oil is generally not recommended due to its potential to interfere with the absorption of fat-soluble vitamins.
C. Incorrect. Increasing insoluble fiber intake, rather than decreasing it, can help prevent constipation.
D. Incorrect. While exercise is important for overall health, it might not have a significant impact on preventing constipation caused by opioid medications.
Correct Answer is A
Explanation
A. Correct. Participating in range-of-motion exercises helps prevent circulation problems and joint stiffness that can result from prolonged immobility after surgery.
B. Incorrect. While elevating the knees can help reduce strain on the lower back, this might not specifically promote circulation.
C. Incorrect. Prolonged bed rest can lead to decreased circulation and increased risk of complications such as deep vein thrombosis (DVT).
D. Incorrect. While using an incentive spirometer is important for preventing respiratory complications, it might not specifically address circulation issues.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise, our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.