For the nurse to effectively and legally delegate, which of the following must be consulted and followed to reduce the likelihood of liability?
1. The National Council of State Boards of Nursing "Rights"
2. The American Nurses Association By-Laws
3. The rules of the governing specialty organization
4. The regulations of the state nurse practice acts
Answer: 4
Rationale: Nurses in each state are governed by their own state's nurse practice act, and these regulations must be consulted and followed. The ANA, NCSBN, and specialty organizations cannot make rules or regulations differing from those in the nurse practice acts.
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The interdisciplinary treatment team is discussing appropriate strategies for a homebound client who has a history of medication nonadherence
Which of the following rationales should the nurse case manager use when a treatment team member suggests that the nurse case manager make daily home visits to administer medications? 1. "My job description does not include medication administration to clients in the home." 2. "My role as case manager is to remain objective and look at the whole picture. If I deliver direct care, I may lose this perspective." 3. "My time is more importantly spent supervising others to provide this type of direct care." 4. "My daily schedule is too full to commit this amount of time to administering medications."
A client with acute renal failure has begun treatment with continuous arteriovenous hemofil-tration (CAVH). For what complication of this treatment should the nurse monitor this client?
A. Bleeding B. Thrombosis C. Hypertension D. Fluid overload
The pediatric nurse examining a newborn infant strokes the sole of the infant's foot with a finger to elicit which reflex?
A) Moro B) Rooting C) Grasping D) Babinski
Identify the best sources of support for nurses' beliefs about health care
a. Opinions and stereotypes b. News programs and documentaries c. Written reports and published surveys d. Discussions and informal feedback from clients