A charge nurse in a unit on the night shift is making rounds and notes that one of the older nurses has multiple bruises on the arms. The best action by the charge nurse is:
1. To notify authorities regarding the abuse.
2. Ask the nurse about the source of the injuries.
3. Notify the security department.
4. To do nothing about the situation.
2. Ask the nurse about the source of the injuries.
Rationale:
The charge nurse cannot assume that the nurse sustained the injuries in an accident, nor can the charge nurse assume abuse. However, older adults are subjected to abuse, and the charge nurse would want to ask about the injuries. The authorities should not be notified until some proof of abuse is noted. Security is not the appropriate department to notify unless the injuries were sustained at work. Nurses are bound to report abuse, so the charge nurse would at least question the older nurse regarding the injuries.
You might also like to view...
Which statement is true regarding the complete physical assessment?
a. The male genitalia should be examined in the supine position. b. The patient should be in the sitting position for examination of the head and neck. c. The vital signs, height, and weight should be obtained at the end of the examination. d. To promote consistency between patients, the examiner should not vary the order of the assessment.
The nurse is caring for a 6-year-old child with acute lymphoblastic leukemia (ALL). The parent states, "My child has a low platelet count, and we are being discharged this afternoon. What do I need to do at home?"
What do I need to do at home?" What statement is most appropriate for the nurse to make? a. "You should give your child aspirin instead of acetaminophen for fever or pain." b. "Your child should avoid contact sports or activities that could cause bleeding." c. "You should feed your child a bland, soft, moist diet for the next week." d. "Your child should avoid large groups of people for the next week."
A patient who has had gastric surgery that affected the effectiveness of the alimentary system will be fed via a gastrostomy tube upon discharge to home. How would the nurse explain the rationale for this intervention?
1. A gastrostomy tube is less invasive than a jejunostomy tube. 2. Gastrostomy tubes are more cost effective than nasogastric feeding. 3. Gastrostomy feeding is less likely to produce side effects than parenteral nutrition. 4. Gastrostomy feeding is more supportive of the specialized diet the patient will require.
Research has shown that the primary reason nurses make medication errors is related to:
1. The complexity of making accurate drug calculations 2. Events that distract the nurse during the administration process 3. The presence of multiple drugs with similar generic and trade names 4. Heavy client assignments that require massive medication administrations