The nurse manager has been assigned the responsibility of evaluating the institution's health care
error reduction policies. What bests contributes to maintaining a quality, safe, error-free
environment?
A) A legal firm outside the institution in charge of maintaining records of nurse errors
B) A public relations program highlighting the institution's highly qualified nurses
C) A patient educational program to educate patients about their responsibilities related to
safety issues
D) A contest between units to monitor how many errors occur each week
D
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The nurse is reviewing the laboratory studies of a client and notes a serum sodium value of 168 mEq/L. Expected clinical manifestations this value would include:
1. Oliguria and fever 2. Constipation and decreased blood pressure 3. Muscle tremor and arrhythmias 4. Dizziness and confusion
When handed the consent form to sign before treatment could be given, a client looked at the nurse and said, "I'm sorry; I forgot my glasses today." Which of the following actions should be taken by the nurse?
a. Ask if the client can use a magnifying glass to better see the form b. Suggest the client bring his glasses or someone else with him to assist with the forms c. Tell the patient why the form was necessary and point to where the patient should sign d. Wonder if the patient might have difficulty with reading and therefore summarize the content of the form for the client
The nurse is starting to administer a unit of packed red blood cells (PRBCs) to a patient admitted in hypovolemic shock secondary to hemorrhage
Vital signs include blood pressure 60/40 mm Hg, heart rate 150 beats/min, respirations 42 breaths/min, and temperature 100.6° F. What is the best action by the nurse? a. Administer blood transfusion over at least 4 hours. b. Notify the physician of the elevated temperature. c. Titrate rate of blood administration to patient response. d. Notify the physician of the patient's heart rate.
The nurse is caring for a client with acute pancreatitis. Which nursing intervention best reduces discomfort for the client?
a. Administering morphine sulfate IV every 4 to 6 hours as needed b. Maintaining NPO status for the client with IV fluids c. Providing small, frequent feedings, with no concentrated sweets d. Placing the client in semi-Fowler's posi-tion at elevation of 30 degrees