A nurse has delegated the task of ambulating a patient to two nursing assistants. Despite the patient's appearance, assistance of two people is needed for safe ambulation. The nurse discovers the patient being ambulated by only one aide
What should be the nurse's first action? 1. Demand to know why a second aide is not assisting with this patient.
2. Assist the aide in completion of the ambulation.
3. Scold the second aide for not carrying through with the delegated task.
4. Immediately initiate disciplinary actions against both aides for not following directions.
2
Rationale: Providing for patient safety is always the priority, so the nurse should assist with completion of the ambulation. After the patient is safe, the nurse can assess the reasons why instructions were not followed and can decide on a course of action.
You might also like to view...
Health care agencies present a mission statement and goals for public review. The nurse would anticipate which of the following as a goal for the agency providing culturally proficient care?
1. To display signs in simple English for clients learning the language 2. To display a sign in the waiting area outlining risks for various cultural groups 3. To sponsor seminars for various cultural groups on health-promotion activities 4. To provide classes in English for clients from another country
A hospital patient who is being treated for a urinary tract infection has developed a fever. The nurse has responded by administering a dose of acetaminophen. In what way does acetaminophen contribute to a reduction in fever?
A) Acetaminophen inhibits the thermoregulatory function of the hypothalamus. B) Acetaminophen increases the production and release of interferons. C) Acetaminophen inhibits prostaglandin synthesis. D) Acetaminophen causes the lysis of fever-producing cells.
A nurse is caring for a patient with GI intubation. What reason would there be for the gastrointestinal intubation? (Mark all that apply.)
A) To remove gas and fluid B) To decompress a bleeding site C) To lavage D) To inject gastric contents for analysis E) To diagnose GI motility disorders
The infant of a mother with diabetes is hypoglycemic. What type of feeding should be instituted first?
a. Glucose water in a bottle b. D5W intravenously c. Formula via nasogastric tube d. Breast milk