Question

A nurse wants to initiate cleansing and dressing of a pts wound. in which practice setting is there a restriction for the nurse to initiate this procedure

a. a community health center
b. a retirement home
c. a hospital inpatient unit
d. a pts home

Answer 1

In a hospital inpatient unit, nurses may face restrictions on performing procedures such as cleansing and dressing a wound without a physician's order, due to hospital protocols and the hierarchy of medical staff.

Step-by-step explanation:

A nurse may find restrictions on their ability to initiate certain procedures based on the healthcare setting in which they are working. For instance, the nurse's autonomy to perform procedures like cleansing and dressing a patient's wound can vary. In general, nurses can initiate these procedures in a community health center (a), a retirement home (b), and a patient's home (d), as they are typically empowered to provide a range of healthcare services in these settings.

However, in a hospital inpatient unit (c), the nurse may face more restrictions. Hospitals often have specific protocols and a hierarchy of medical staff that dictate the procedures nurses can perform independently. Interventions usually require a physician's order or supervision, especially if the wound care requires advanced care or if the patient's condition is critical. The nurse would need to follow hospital policies and may need to wait for a physician's assessment before proceeding with the wound dressing and cleansing.