ccording to BON Position Statement 15.24 Engaging in Reinsertion of Permanently

Placed Feeding Tubes, it would be within the scope of practice for a nurse to replace a

gastrostomy tube provided that

A. the tube has been in place for 8-12 weeks, the nurse has a physician's order to

replace the tube, and the nurse has completed specific competency training to safely

replace the tube.

B. the tube has been in place for 8-12 weeks, the facility policy allows replacement of a

tube with a specific physician's order, and the nurse has not completed the required

skills check-off.

C. the tube has been in place for 4-6 weeks and the nurse observed a supervisor

completed the procedure.

D. the tube has been in place 4-6 weeks and the nurse as been determined to be

competent in reinserting permanently placed tubes that have an established fistulous

tract. - Correct answer-A. the tube has been in place for 8-12 weeks, the nurse has a

physicians to replace the tube, and the nurse has completed specific competency

training to safely replace the tube.

The BON differs from nursing and healthcare specialty associations since the BON

A. lobbies for legislation favorable to the practice of nursing.

B. sets criteria for evaluating nursing career ladders.

C. offers liability insurance at discounted rates for members

D. protects and promotes the welfare of the people of Texas - Correct answer-D.

protects and promotes the welfare of the people of Texas.

The Standards of Nursing Practice, Board Rule 217.11 state that the LVN scope of

practice includes including doing which of the following with regard to care plans?

A. Initiate the development of a comprehensive nursing care plan independently