call the nursing assistant out of the room and speak with him about the incident. apologize to the patient and assign another nursing assistant to that room. report the nursing assistant to the nursing manager for poor patient care. write an incident report and give a copy to the nursing assistant and nurse manager.
After a train accident, the nurse is assigned to triage the injured. Based upon the triage protocol, which individual should be seen last?
66-year-old male with no visible injuries, but who is experiencing tachycardia and seems confused 16-year-old female with fixed, dilated pupils who is unresponsive and has clear fluid draining from right ear 25-year-old female with an abrasion to left eye and a swollen ankle, who is unable to put weight on right leg 80-year-old male with…
A client requires IV insulin. The pharmacy sends up a bag labeled 1,000 units of insulin in a 250 mL bag of 0.9% NaCl. The pump is set to infuse at 5 mL/hr. How much insulin does the client receive per hour?
20 units/hour 50 units/hour 25 units/hour 15 units/hour
A client who has been taking Coumadin (warfarin) was stabbed in the upper arm. His prothrombin time is over twice the normal amount. The nurse anticipates an order for
fresh frozen plasma whole blood platelets packed red blood cells
A client prescribed furosemide (Lasix) should choose which meal for lunch?
chicken breast, white rice, apple turkey sandwich on wheat bread, celery sticks, grapefruit egg salad, cooked carrots, strawberries baked salmon, spinach salad, banana
A triage nurse is reviewing messages from four clients. The nurse’s priority is which client?
69-year-old male with cloudy urine and fever of 100.3°F 42-year-old female with pain in jaw and back that has become more intense in past 15 minutes 56-year-old female with hot flashes and inability to sleep the past four nights 10-year-old boy with a closed fracture of the tibia, who rates his pain level as 7…
According to Maslow’s hierarchy of needs, “lack of prejudice” falls under which level of human need fulfillment?
love and belonging self-actualization safety esteem
A nurse graduated from nursing school 3 years ago. He worked at one hospital on the telemetry unit for 6 months. He then transferred to the cardiac care unit (CCU) at a teaching hospital, and has been working there for 2.5 years. According to the novice-expert model of nursing, he is considered
novice. expert. competent. advanced beginner.
A client confides in the nurse that a close friend recently died from pancreatic cancer. The client asks what the risk factors are for pancreatic cancer. The nurse should respond with
“Being a female of Asian descent is linked to an increased risk of pancreatic cancer.” “Drinking two or fewer alcoholic beverages per week is linked to an increased risk of pancreatic cancer.” “Past history of acute pancreatitis before age 20 is linked to an increased risk of pancreatic cancer.” “Cigarette smoking is linked to an…
Ideally, the first dose of what vaccine is given at birth?
IPV Hib DTaP hepatitis B