A registered nurse for more than 15 years was concerned when she learned that her hospital was going to let unlicensed nursing assistants start IVs on patients. The nurse knew this was in violation of the scope of nursing practice in her state
Which of the following organizations defines the scope of nursing's professional functions and responsibilities? a. The US Food and Drug Administration (FDA)
b. The MedWatch program
c. Employee assistance programs (EAP)
d. State Nurse Practice Acts
D
State Nurse Practice Acts have the most influence over nursing practice because they define the scope of nurses' professional functions and responsibilities. The primary intent of state Nurse Practice Acts is to protect the public from unskilled, undereducated, and unlicensed nurses. The FDA ensures that all medications on the market undergo rigorous review before allowing manufacturers to distribute them to the public. In 1993, the FDA instituted the MedWatch program. This voluntary program encourages nurses and other health care professionals to report when a medication, product, or medical event causes serious harm to a patient. Mandatory reporting is required for medication manufacturers, distributors, and packers. A wide variety of programs to help people who abuse medications are offered through an institution's employee assistance program (EAP), the State Board of Nursing, and community agencies.
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A patient with a traumatic brain injury is being evaluated for brain death. Which findings should the nurse expect in this patient?
Select all that apply. 1. absence of gag or corneal reflex 2. absence of oculovestibular reflex 3. apnea with PaCO2 of 66 mmHg 4. toxic metabolic disorders 5. response to deep stimuli
The nurse is caring for a patient who has a seizure disorder. The nurse notes that the patient has reddened gums that bleed when oral care is given. The nurse recognizes this finding as
a. an adverse effect of the phenytoin. b. a drug interaction with aspirin. c. a symptom of hepatotoxicity. d. a sign of poor self-care.
The correct sequence of steps for performance improvement is: 1. Discover a problem. 2. Plan a strategy using indicators. 3. Implement a change. 4. Assess the change
A) 1, 2, 3, 4 B) 1, 4, 2, 3 C) 4, 1, 2, 3 D) 1, 2, 4, 3 E) 1, 3, 2, 4
A client comes into the clinic and tells the nurse he goes to an acupuncturist for pain. The nurse says he should take pain medication instead. This would be called cultural:
a. Conflict b. Blindness c. Relativism d. Imposition