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

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.