The student nurse is preparing to provide 25 mg meperidine (Demerol) IM for pain. The Pyxis is loaded with prefilled 50 mg meperidine syringes. The supervising nurse appropriately intervenes if the student nurse
1. Obtains a Carpuject system to administer the medication.
2. Recaps the needle after the injection.
3. Wastes 25 mg of the meperidine before administration.
4. Unscrews the syringe from the holder before discarding it in the sharps container.
ANS: 2
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A young adolescent is transferred to the labor and delivery unit from the emergency department. The patient is in active labor, but did not know she was pregnant. The most important nursing action is to:
1. Determine who might be the father of the baby for paternity testing. 2. Ask the patient what kind of birthing experience she would like to have. 3. Assess blood pressure and check for proteinuria. 4. Obtain a Social Services referral to discuss adoption.
Interventions in managing a client with ascites may include all of the following except:
a. elevate the head of the bed >30-45°. b. follow a 3000-milligram sodium diet. c. administer diuretics and analgesics as prescribed. d. anticipate paracentesis procedure to remove trapped fluid.
A client weighed 48.52 kg on admission and now weighs 50.4 kg. How many kilograms did the client gain since admission?
A) 0.78 B) 0.88 C) 1.88 D) 1.98
Why is staffing a more complex issue for a county health department then for a hospital?
1. Stakeholders are more varied and complex. 2. Nurses need to have a BSN. 3. Community requires a higher ratio of nurses than a hospital. 4. Personal safety is more of a concern in the hospital setting.