Nurses are assigned specific tasks to perform for each of the clients Nurses use a functional nursing model when assigning specific tasks to staff. This approach places the focus on the task to be performed. A nurse is reinforcing teaching with newly licensed nurse about the administration of opiod pain medication. Which of the following instructions should the nurse include? Have a second nurse witness the disposal of the unused portion of the clients medication The nurse should ask a second nurse to witness the disposal of any unused portion of the client's medication. The witnessing nurse should also sign the medication record as a witness to the disposal of the unused medication. A community health nurse is reinforcing teaching with a group of parents about home safety for children of various age groups. Which of the following information should the nurse plan to include? The supine position is the safest for sleeping infants. The nurse should reinforce placing an infant in the supine position is recommended by the American Academy of Pediatrics to decrease the risk of sudden infant death syndrome (SIDS). A nurse is caring for an adolescent client who requires a blood transfusion. The client's parents will not consent to the transfusion due to religious beliefs. Which of the following actions should the nurse take? Inform the charge nurse and recommend that social services be contacted
The nurse has an obligation to act as an advocate for the client. The nurse should inform the charge nurse of the parents' decision and recommend that social services is contacted to further advocate for the client. A nurse enters the room of a client who is sleeping and observes sparks coming from a frayed bed plug in the client’s electrical outlet. Which of the following actions should the nurse take first? Evacuate the client The greatest risk during a fire or a threat of fire is injury to the client or others; therefore, the first action is to evacuate the client from the room. This action is the first step of the Rescue, Alarm, Confine, and Extinguish (RACE) protocol. A nurse is monitoring an assistive personnel (AP) who is calculating I&O for a postoperative client. The client has a Jackson-Pratt drain and an indwelling urinary catheter. The nurse should recognize that the clients output is calculated and recorded correctly when the AP performs which of the following actions? Includes emesis and wound drainage in the total recorded output The nurse should recognize that the AP understands the concept of calculating a client's intake and output when the AP includes emesis and wound drainage into the calculation of the client's total output. A nurse is assisting with the care of a client who was admitted with deep vein thrombosis. The client has decided to leave against medical advice. Which of the following actions should the nurse take? Explain to the client the risk involved in leaving the hospital The nurse has a legal responsibility to inform the client of the potential risks involved with leaving against medical advice.
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- Spring '17
- Nursing, AP