For the nurse to effectively and legally delegate, which document must be consulted and followed to reduce the likelihood of liability?
1. The American Nurses Association Bylaws
2. The National Council of State Boards of Nursing
3. The regulations of the state nurse practice acts
4. The rules of the governing specialty organization
3
Rationale 1: The ANA Bylaws do not set out legal rules or regulations for delegation.
Rationale 2: NCSBN does not set the legal rules and regulations of delegation.
Rationale 3: Nurses in each state are governed by their own state's nurse practice act, and these regulations must be consulted and followed.
Rationale 4: Specialty organizations do not set the legal rules and regulations of delegation.
Global Rationale:
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An Asian American client is admitted to the health care facility with hyperglycemia. After the client is stable, the nurse discovers that the client has not had his prescribed medicines
The client believes that eating saffron will keep his blood sugar under control. The nurse determines that saffron is not known to influence blood glucose levels. What is the most appropriate response by the nurse? A) "Saffron does not have any effect on blood sugar level." B) "Why don't you take the medicines, too, and benefit from both?" C) "Yes, I agree that you should rely on taking saffron for diabetes." D) "Let me inform the physician that you don't understand."
A patient receiving mental health services complains about having to get a referral from a primary care physician in order to obtain mental health services
The nurse should explain to the patient that this is a cost control practice used in managed care that is described as: a. gatekeeping. b. utilization review. c. case management. d. preadmission certification.
The nurse had just given an intramuscular dose of methylergonovine (Methergine) to a client following delivery of an infant. The nurse determines that this medication had the intended effect after evaluating for which of the following findings?
1. Decreased pulse rate 2. Increased urine output 3. Improved uterine tone 4. Increased blood pressure
An older adult with pain is to be discharged home with a prescription for oral morphine (MSContin) daily for persistent pain. The client historically took an over-the-counter nonsteroidal anti-inflammatory drug (NSAID) for pain
Which statement by the patient shows the nurse that the client understands the plan? A) "I will be careful to take an antacid with the morphine pill." B) "I will only take this morphine when the NSAID doesn't work." C) "I will take MiraLAX and a stool softener to reduce my constipation." D) "NSAID side effects are not as bad as a morphine pill."