After analyzing assessment data, the home health care nurse determines that a change is necessary in the medical care of a patient. The nurse makes the change without consulting the physician
Under which circumstance is this a legal action by this nurse? 1. If the nurse is certain the physician will agree with the change
2. If there is a signed, standing order for the change
3. If the patient's family agrees that the action is necessary
4. If the nurse is experienced and sure the change will not harm the patient
2
Rationale: The nurse must have a legal order for any change in the medical care of a patient. Standing orders are legal orders once they are signed by the physician. These orders require astute assessment and analysis by the nurse. The nurse can make changes to the nursing care of a patient by virtue of education and licensure.
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