A nurse is changing a sterile pressure ulcer dressing based on an established protocol. What does this mean?
A) The nurse is using critical thinking to implement the dressing change.
B) The client has specified how the dressing should be changed.
C) Written plans are developed that specify nursing activities for this skill.
D) The physician verbally requested specific steps of the dressing change.
Ans: C
Protocols (written plans that detail the nursing activities to be executed in specific situations) are nurse-initiated interventions. They expand the scope of nursing practice in certain clearly defined situations.
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