The nurse is reviewing the client's chart for new orders, and finds the nurse practitioner has ordered a chest x-ray and antibiotics to be provided prior to discharge. The nurse does which of the following?
1. Carry out the orders as written.
2. Notify the physician of the nurse practitioner's orders for verification.
3. Notify the supervisor of the orders.
4. Tell the nurse practitioner to carry out the orders.
1
Rationale 1: The nurse practitioner has prescriptive authority, and may order diagnostic tests and medications, so the nurse should carry out the orders as written. There is no need to notify the supervisor, and the nurse, not the nurse practitioner, would carry out the orders. There is no need to obtain approval from the physician for these orders unless the nurse questions the correctness of the order, and then the nurse practitioner, not the physician, would be consulted.
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The nurse manager is concerned with the safety of the staff as they transfer patients. Facility policy reinforces the principles of appropriate body mechanics, which include which of the following? (Select all that apply.)
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A man stated, "I used to work out at the exercise room at work, but now that I'm retired I sit and watch TV. My wife keeps nagging me to do something. What do you think I should be doing at my age?"
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When assessing lung sounds, the nurse applies the chest piece to the client's upper back, but avoids placing it over the scapulae or ribs. How does this intervention help in the assessment?
A) Helps to clear the air passages and open the alveoli. B) Reduces sound from air turbulence and prevents hyperventilation. C) Minimizes pain or discomfort to the client. D) Facilitates hearing sounds in the upper and lower lobes.