Scenario: The client has been diagnosed with community-acquired pneumonia. Although oxygenation improved, the client continues to be diaphoretic, using accessory muscles of respiration and frequently states, "I'm exhausted" and "I can't get enough air." The decision is made to intubate and place the client on mechanical ventilation. In preparation for and during the intubation procedure, the ED's registered nurse will legally perform what actions independently? With an X identify each action listed in the far-left column as being either within or beyond the scope of the registered nurse (RN) at the bedside. Actions Within scope of practice Outside the scope of practice Immediately notify respiratory therapy (RT) to obtain a ventilator     Select the proper sized endotracheal tube     Ensure the bedside suction is in working order      Choose the appropriately sized laryngoscope     Secure preprocedure vital signs       Select pre- and postmedication       Position client in a "sniffing"       Hyper-oxygenate client with 100% oxygen     Ensure easy access to a rigid tonsil tip suction tip     Advance endotracheal tube 5 to 6 cm beyond the vocal cords

Understanding Health Insurance: A Guide to Billing and Reimbursement
14th Edition
ISBN:9781337679480
Author:GREEN
Publisher:GREEN
Chapter7: Cpt Coding
Section: Chapter Questions
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Scenario: The client has been diagnosed with community-acquired pneumonia. Although oxygenation improved, the client continues to be diaphoretic, using accessory muscles of respiration and frequently states, "I'm exhausted" and "I can't get enough air." The decision is made to intubate and place the client on mechanical ventilation.

In preparation for and during the intubation procedure, the ED's registered nurse will legally perform what actions independently? With an X identify each action listed in the far-left column as being either within or beyond the scope of the registered nurse (RN) at the bedside.

Actions Within scope of practice Outside the scope of practice
Immediately notify respiratory therapy (RT) to obtain a ventilator  

 

Select the proper sized endotracheal tube  

 

Ensure the bedside suction is in working order   

 

Choose the appropriately sized laryngoscope  

 

Secure preprocedure vital signs

 

 

 
Select pre- and postmedication

 

 

 
Position client in a "sniffing"

 

 

 
Hyper-oxygenate client with 100% oxygen    
Ensure easy access to a rigid tonsil tip suction tip    
Advance endotracheal tube 5 to 6 cm beyond the vocal cords     

 

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