A nurse manager understands that the second step in handling an employee with a disciplinary problem is to document the incident. Which of the following is best for documentation of personnel problems?
a. Use of the performance appraisal on an annual basis
b. Notes made immediately after an incident that include a description of the incident, actions taken, plans, and follow-up
c. A tally sheet of medication errors and other specific problems that will be used at annual review
d. Copies of reports, placed in his or her file, of all unusual occurrences involving the employee
ANS: B
In documenting staff problems, it is important to specifically indicate what rules were broken or violated, consequences if behavior is not altered, employee's explanation of the incidents, and the plan of action to achieve and to reach new goals.
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A nurse reviews laboratory results for a client who was admitted for a myocardial infarction and cardiogenic shock 2 days ago. Which laboratory test result should the nurse expect to find?
a. Blood urea nitrogen (BUN) of 52 mg/dL b. Creatinine of 2.3 mg/dL c. BUN of 10 mg/dL d. BUN/creatinine ratio of 8:1
A nurse may need to use medical coercion with a client. Which of the following medical diagno-ses would the client most likely have?
a. Human immunodeficiency virus (HIV) b. Depression c. Schizophrenia d. Hypertension
Scabies treatment for a 4-year-old child includes a prescription for:
1. Permethrin 5% cream applied from the neck down 2. Pyrethrin lotion 3. Lindane 1% shampoo 4. All of the above
While helping a student nurse apply a nitroglycerine patch to the patient's skin, the nursing instructor would appropriately intervene if
1. The student nurse removed a patch that was applied yesterday before applying the new patch. 2. The student nurse removed her gloves before placing the patch. 3. The student nurse wrote the date, time, and her initials on the patch before applying it to the patient's skin. 4. The student nurse placed the new patch on the patient's right shoulder because the last patch was on the left shoulder.