CRNAs in most states:
a. must have a Drug Enforcement Administration (DEA) number to practice.
b. must have prescriptive authority to practice.
c. order and administer controlled substances but do not have full prescriptive authority.
d. administer medications, including controlled substances, under direct physician supervision.
C
Only five states grant independent prescriptive authority to CRNAs. CRNAs do not require prescriptive authority because they dispense a drug immediately to a patient and do not prescribe. Without prescriptive authority, they do not need a DEA number.
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The nurse notes that a client who has been using psoralens–ultraviolet A (PUVA) therapy for psoriasis for 1 month has darkening of the skin. Which is the nurse's best action?
a. Document this assessment finding. b. Instruct the client to reduce the dose. c. Instruct the client to drink more water. d. Instruct the client to apply cortisone cream.
The nurse inspects the site where a client's basal cell carcinoma has been treated with cryosurgery and finds that the area is red, with a blister in the center. Which action does the nurse take?
a. Culture the site. b. Notify the surgeon. c. Apply hydrocortisone cream. d. Reassure the client.
The nurse observes sinus bradycardia on a client's monitor. Which of the following data sets would indicate the client is in need of treatment for this rhythm?
1. Client is lightheaded and complaining of chest discomfort. 2. Client is alert, oriented X3, and blood pressure is 120/60, with no other complaints. 3. Client's heart rate is 50 and blood pressure is 110/62, with no other complaints. 4. Client's respiratory rate is 16, blood pressure is 114/70, and client is pain-free.
Which technique should the nurse use to cleanse the perineum of a female patient during urinary catheter insertion?
a. Rinse the perineum with warm antiseptic solution. b. Swab the perineum 3 times from the anus to the urinary meatus. c. Use the nondominant hand to keep the labia spread apart continuously. d. Use the nondominant hand to cleanse from the urinary meatus to the rectum.