The nurse who is seeking legal guidance in delegating assignments to assist workers in an ambulatory care setting would best consult
a. agency protocols.
b. recently published texts.
c. the agency's legal counsel.
d. the state nurse practice act.
D
Nurse practice acts (NPAs) for each state define legal delegation guidelines. Agency protocols cannot override the NPA; the legal counsel would certainly reference the NPA; and texts cannot address each state's NPA.
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During an examination, the nurse notices severe nystagmus in both eyes of a patient. Which conclusion by the nurse is correct? Severe nystagmus in both eyes:
a. Is a normal occurrence. b. May indicate disease of the cerebellum or brainstem. c. Is a sign that the patient is nervous about the examination. d. Indicates a visual problem, and a referral to an ophthalmologist is indicated.
How does the drug levodopa contrast with dopamine? (Select all that apply.)
A) Levodopa is a precursor of dopamine. B) Levodopa crosses the blood–brain barrier. C) Levodopa is converted to dopamine. D) Levodopa is effective for 8 to 10 years. E) Dopamine returns to levodopa for metabolism.
What elements are required for enzyme regulation and maintenance of osmotic pressure?
a. Proteins b. Minerals c. Carbohydrates d. Amino acids
A 6 year old who exhibits a moist, productive cough has a history of bronchitis several times every year and "eating everything in sight.". She appears thin for her age and has a sweat chloride test that is 67 mEQ/L
Her mother states, "I just want to get this eating disorder treated so my baby can have a normal life.". What is the nurse's best response? 1. "We will consult the dietician for a behavior management and eating plan, focusing on appropriate portion size.". 2. "We will need to do another sweat chloride test next week. Have your child take supplemental water-soluble vitamins, such as A, D, K and iron.". 3. "You should incorporate tofu and mayonnaise in your meal preparation to promote feeling full for a longer period of time.". 4. "Cystic fibrosis can cause an increase in appetite because of the lack of nutrients and calories absorbed. This affects children across the life span.".