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Chapter 07.rtf - Basic Nursing, Thinking, Doing and Caring,...

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Basic Nursing, Thinking, Doing and Caring, 2nd EditionChapter 7. Implementation & EvaluationMULTIPLE CHOICE1.A client is prescribed oral aripiprazole 10 mg daily; however, the nurse is unfamiliar with themedication and cannot find it in the hospital formulary. Which action should the nurse take?1)Administer the medication as prescribed.2)Hold the medication and notify the prescriber.3)Consult with a pharmacist before administering it.4)Ask the client’s nurse for information about the medication.ANS: 3
Chapter number and title: 7, Implementation & EvaluationChapter learning objective: Describe what nurses do in the implementation phase of thenursing process.Chapter page reference: p. 110Heading: Preparing for ImplementationIntegrated Processes: Nursing ProcessClient Need: Safe and Effective Care Environment: Management of CareCognitive level: Application [Applying]Concept: Patient-Centered CareDifficulty: DifficultFeedback1Administering the medication as prescribed, without knowing its expectedactions and side effects, at the least prevents adequate reassessment; at the most,it is dangerous.2Holding the medication and notifying the prescriber prevents the client fromreceiving timely treatment—many drugs are less effective if a consistentschedule is not maintained.3The nurse must recognize when she does not have the knowledge or skill neededto implement an order. Because the nurse is unfamiliar with the medication, thatdoes not mean she should hold it and delay patient treatment. It is wisest to firstconsult with the pharmacist for information before administering the medicationto ensure safe practice.4Asking another nurse to administer the medication is also unsafe because itcannot be assumed that the other nurse has the correct knowledge. In addition,the nurse caring for the client must assess for adverse reactions to themedication.PTS:1CON:Patient-Centered Care2.Which task can be delegated to nursing assistive personnel (NAP)?
Basic Nursing, Thinking, Doing and Caring, 2nd Edition
Chapter number and title: 7, Implementation & EvaluationChapter learning objective: Identify and describe the “five rights” of delegation.Chapter page reference: p. 113Heading: What Should I Know About Delegation and Supervision?Integrated Processes: Nursing ProcessClient Need: Safe and Effective Care Environment: Management of CareCognitive level: Application [Applying]Concept: Leadership and ManagementDifficulty: ModerateFeedback1The nurse can delegate turning the client every 2 hours to the NAP.2Assessing the client’s skin condition requires nursing knowledge and judgment.3Changing pressure ulcer dressings requires nursing knowledge and judgment.

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Term
Spring
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Nursing, Management of Care, Implementation Evaluation

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