An LPN/LVN arrives on duty at 0700 and is faced with the ethical dilemma of inadequate staffing for the day shift. How should the LPN/LVN invoke a "safe harbor"? (Select all that ap-ply.)
a. Immediately file a written protest with administration.
b. Leave duty.
c. Refuse the assignment.
d. Call hospital administration.
e. Suggest that the nursing assistants (NAs) file a written protest.
A, E
Filing a written protest relative to short staffing provides the "safe harbor" for the LPN/LVN and protects his or her license. Nonacceptance of the assignment or leaving duty is considered aban-donment. Suggesting that the NA file a similar protest is an effective action.
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The student nurse is planning care for a patient with a recent spinal cord injury. Which intervention indicates the need for further instruction regarding care of the patient with a spinal cord injury?
a. Keep the halo jacket fastened unless the patient is in a supine position. b. Monitor the bladder every 4 hours for signs of bladder distention. c. Instruct unlicensed assistive personnel (UAP) to turn and reposition the patient every 2 hours. d. Assess compression stockings for proper fit.
The nurse is administering ophthalmic drops to a client with an eye infection. Put the following nursing interventions in order from first to last. A. Recheck the 5 Rs and expiration date of the drug. B. Don gloves. C. Have the client tilt the head backward. D. Explain the procedure to the client. E. Wash your hands. F. Pull the lower eyelid downward and give Rx into the conjunctival
sac.G. Instruct the client to close the eyes gently without squeezing the eyelids together. H. Document the medication.
How will the nurse respond to parents who express regret that they did not seek care for their young child early enough to prevent perforation of the child's appendix?
What will be an ideal response?
A nurse in the genetic clinic in Québec is counseling a French Canadian couple about the most commonly occurring genetic conditions, which include:
A. Amyotrophic lateral sclerosis. B. Leukemia. C. Epilepsy. D. Muscular dystrophy.