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According to BON Position Statement 15.24 Engaging in Reinsertion of Permanently Placed
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Feeding Tubes, it would be within the scope of practice for a nurse to replace a gastrostomy tube
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provided that
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A. the tube has been in place for 8-12 weeks, the nurse has a physician's order to replace the tube,
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and the nurse has completed specific competency training to safely replace the tube.
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B. the tube has been in place for 8-12 weeks, the facility policy allows replacement of a tube with a
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specific physician's order, and the nurse has not completed the required skills check-off.
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C. the tube has been in place for 4-6 weeks and the nurse observed a supervisor completed the
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procedure.
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D. the tube has been in place 4-6 weeks and the nurse as been determined to be competent in
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reinserting permanently placed tubes that have an established fistulous tract. - Correct Answers
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A. the tube has been in place for 8-12 weeks, the nurse has a physicians to replace the tube, and
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the nurse has completed specific competency training to safely replace the tube.
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Il` The BON differs from nursing and healthcare specialty associations since the BON
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A. lobbies for legislation favorable to the practice of nursing.
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B. sets criteria for evaluating nursing career ladders.
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C. offers liability insurance at discounted rates for members
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D. protects and promotes the welfare of the people of Texas - Correct Answers D. protects and
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promotes the welfare of the people of Texas.
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Il` The Standards of Nursing Practice, Board Rule 217.11 state that the LVN scope of practice includes
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Il` including doing which of the following with regard to care plans?
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,A. Initiate the development of a comprehensive nursing care plan independently
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B. May not document on the nursing care plan
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C. Participate in the modification and development of the nursing care plan.
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D. Review the nursing care plan only if directed to do so by the physician. - Correct Answers C.
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Participate in the modification and development of the nursing care plan.
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Il` A nurse who contacts a physician to clarify a medication order is
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A. fulfilling a duty to keep the patient safe.
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B. likely to detract from a collegial nurse-physician relationship.
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C. engaging in action that is the duty of the pharmacist.
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D. not fulfilling nursing tasks with other patients. - Correct Answers A. fulfilling a duty to keep the
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patient safe.
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Il` Nurses often ask the Board about what it means to abandon their patients. Though the Board
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Il` does not use this term in the rules, what specific portion of Board Rule 217.12, Unprofessional
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Il` Conduct, provides directions for the nurse regarding job abandonment and conduct that may also
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Il` be Board-reportable?
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A. Paragraph (5)
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B. Paragraph (7)
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C. Paragraph (12)
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D. Paragraph (8) - Correct Answers C. Paragraph (12)
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Il` Which of the following situations is an example of a nurse MAINTAINING appropriate professional
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Il` boundaries between the nurse and the client? A nurse Il` Il` Il` Il` Il` Il` Il` Il`
, A. rewards a patient with a small stuffed mascot of his favorite football team for progress made in
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rehabilitation.
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B. responds less frequently to a demanding patient's call light.
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C. shares personal information regarding her recent bankruptcy because the patient seems
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genuinely interested.
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D. is personally attracted to a patient and calls and visits him on her days off "to check on how he is
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doing." - Correct Answers A. rewards a patient with a small stuffed mascot of his favorite
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football team for progress made in rehabilitation.
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Il` Am advertisement for a "licensed nurse" states the following as routine job responsibilities.
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Il` "Must work independently without supervision, have expertise in developing nursing care plans,
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Il` including establishing appropriate nursing diagnoses for assigned patients, and, must be able to
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Il` complete comprehensive nursing assessments." Based on these responsibilities, this
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Il` advertisement would require, at a minimum, the nurse to hold a valid Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
A. Advanced Practice Registered Nurse license.
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B. Physician Assistant license.
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C. Vocational Nurse license.
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D. Registered Nurse license. - Correct Answers D. Registered Nurse license.
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A nurse is caught stealing narcotics from the automated dispensing machine on the unit and self-
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injecting these drugs while on duty. The nurse admits that she is chemically dependent. In this
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situation, the NPA requires
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A. the nurse be reported to the BON.
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B. the Peer Review Committee to monitor the nurse's practice.
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C. the nurse to enroll in the Texas Peer Assistance Program for Nurses (TPAPN).
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D. a report to law enforcement. - Correct Answers B. the Peer Review Committee to monitor the
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nurse's practice.
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