State nurse practice acts define the legal scope of nursing practice. How can the policies of an institution or organization such as a hospital influence nursing practice? The institution: (Select all that apply.)
A. Can restrict nurses from doing some things that are allowed by the state nurse practice act.
B. Can permit nurses to do some things that are forbidden by the state practice act.
C. Cannot redefine in any way the limits set by the practice act.
D. Can either restrict or expand the limits of the practice act.
E. Should remain aware of changes or updates as they are enacted.
E
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When assessing for therapeutic effects of mitotane in a patient with adrenocortical carcinoma, the nurse should expect to identify
A) a decrease in agitation. B) an audible S3. C) a decrease in blood pressure. D) a decrease in urine output.
In preparing a community teaching program, which information does the nurse plan to present to address secondary cancer prevention?
a. Receiving cancer treatment with chemo-therapy b. Annual measurement of prostate-specific antigen levels c. Avoiding known cancer-causing sub-stances or conditions d. Having adolescent children receive the Gardasil vaccination
A patient learns that a small bowel obstruction was caused by an appendectomy 5 years ago. How would the nurse explain this development to the patient?
1. "The infection in your appendix should have been treated earlier.". 2. "Abdominal surgery sometimes results in adhesion or scarring of tissues that can result in bowel obstruction.". 3. "You must have had an undiagnosed femoral hernia at the time of your appendectomy.". 4. "The surgeon did not irrigate your abdomen adequately when you had your appendectomy.".
An infant age 4 months comes to the clinic for a well-infant check-up. Immunizations she should receive are DTaP (diphtheria, tetanus, acellular pertussis) and IPV (inactivated poliovirus vaccine). She is recovering from a cold but is otherwise healthy and afebrile. Her older sister has cancer and is receiving chemotherapy. Nursing considerations include which of the following?
a. DTaP and IPV can be safely given. b. DTaP and IPV are contraindicated because she has a cold. c. IPV is contraindicated because her sister is immunocompromised. d. DTaP and IPV are contraindicated because her sister is immunocompromised.