The document that addresses the scope of nursing assistant practice in your state is the
A. OBRA regulations.
B. Nursing Assistant Competency Evaluation.
C. Nurse Practice Act.
D. rights of delegation act.
Answer: C
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A nurse is assessing a woman who had a postpartum hemorrhage treated with fundal massage and oxytocin (Pitocin). Which assessment finding would require the nurse to intervene immediately?
A. Mean arterial pressure of 58 mm Hg B. Pain of 4 on a pain scale of 1 (least amount) to 10 (most amount) 1 hour after the pain medication was administered C. Used perineal pad weight of +80 g in 2 hours D. Urinary bladder nondistended, no urge to void
The nurse is preparing an education session for nurses who work in an endocrinology clinic caring for older adult clients. Which characteristic of hypothyroidism should the nurse include for this client group?
A) Thyroid hormone is often increased for older adult clients. B) Symptoms of hypothyroidism in this group of clients are often confused with symptoms of aging. C) Hypothyroidism is a congenital disease that manifests in older adult clients. D) Hypothyroidism presents with pitting edema for this group of clients.
Parents of a child with fragile X syndrome ask the nurse about genetic transmission of this syndrome. In response, the nurse correctly explains that fragile X syndrome is:
a. most commonly seen in girls. b. acquired after birth. c. usually transmitted by the male carrier. d. usually transmitted by the female carrier.
Excessive exposure to a cholinergic agent would produce:
A. excessive tearing, headache, and paralysis. B. tachycardia, hypertension, and constipation. C. hypotension, hyperthermia, and skin flushing. D. increased salivation, urination, and vomiting.