a bed that is missing a rail but is still usable an IV pump with a current safety inspection sticker a rolling recliner with all wheels in the fully locked position a new extension cord for a radio that a previous client left behind a feeding pump with a frayed electrical cord and a current…
A nurse is preparing to administer IV Rocephin for infection to a client. The client has a central venous line infusing blood but no other IV access. The blood still has 30 minutes left to infuse. The Rocephin is due now. How should the nurse proceed?
hold the Rocephin since it will be too late to give it after the blood completes infusing draw up the Rocephin in a syringe after reconstitution and inject it into the blood bag so it can infuse with the blood stop the blood, flush the line with 0.9% NS, administer the Rocephin, and then flush…
The nurse is caring for a client with influenza. Which precautions would the nurse expect to be in place for this client?
contact droplet airborne protective environment
The nurse is preparing to administer Protonix 40 mg PO to a client. The medication dispenser system is out of the tablets, but the nurse realizes that he can override and pull out IV Protonix instead. The client has a patent IV, and the nurse decides this will save time instead of calling the pharmacy for the missing medication. Which of the six rights of medication administration has the nurse violated?
right dose right time right route right patient right medication right documentation
The nurse sees a small fire in a trash can at the nurses’ station. She retrieves the fire extinguisher. Which is the correct method to put out the fire?
pull the pin, squeeze the handles, aim at the top of the fire, and sweep downward to contain the flames squeeze the handles firmly, aim hose at the top of the fire, and then spray downward in a sweeping motion until flames are extinguished pull the pin, aim hose at the outside of the trash…
The nurse is caring for a client with limited mobility and right-sided paralysis. The nurse needs to pull the client up in the bed. Which statement reflects correct performance of this action?
The nurse stands behind the head of the bed, places her hands under the client’s axillae, and pulls him up. The nurse rolls the client to his left side, stands behind the head of the bed, and pulls the client up with the draw sheet. The nurse places the bed in the Trendelenburg position and…
A nurse is preparing a sterile field for a client who is having a central venous catheter placed for IV therapy. Which action reflects a break in the sterile field?
The nurse uses sterile gloves to place objects on the sterile field. The nurse stays near the sterile field at all times without turning away from it. The nurse removes a sterile syringe from the sterile field using clean gloves but does not touch the sterile field itself. The nurse opens a syringe, carefully peeling…
The nurse is educating a client on meningitis. Which statements would the nurse include in the teaching?
The CDC recommends an initial vaccine at age 6 or upon entering first grade. Immunocompromised clients and older adults are at increased risk of meningitis. Viral meningitis is the most common type; typically, no organisms are isolated from CSF cultures. Young preschool-age children have the highest rates of infection from life-threatening meningococcal infection. A booster…
The nurse is reviewing the facility’s emergency preparedness plan. Which statement is true regarding emergency preparedness?
Nurses play supporting roles during and after a disaster or emergency. The critical incident stress debriefing team analyzes what went wrong and what went right with the plan. The administrative review meets with team members shortly after the event to promote effective coping strategies to staff. Without stress management and intervention during and after an…
The nurse is talking with a client about primary and secondary prevention of cancer. Which statements are examples of primary prevention?
removing colon polyps to prevent colon cancer limiting alcohol to no more than 1 ounce per day colonoscopy at age 50 years and then every 10 years yearly mammogram for all women older than 40 years getting vaccinated against human papilloma virus (HPV) eating a low-fat diet high in fiber, including fruits and vegetables