When developing appropriate nurse-initiated interventions for a client admitted to an acute care facility for abdominal pain, the nurse must first consider:
1. The institution's policies and procedures
2. The state's defined scope of nursing practice
3. The client's physiological and psychological needs
4. The scientific rationale for the proposed nursing action
ANS: 2
Each state within the United States has developed a Nurse Practice Act that defines the legal scope of nursing practice (see Chapter 22). According to the Nurse Practice Act in a majority of states, independent nursing interventions pertain to activities of daily living, health education and promotion, and counseling. Although the other answers must be considered, they are not the first consideration.
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