The nurse is educating the family to care for a patient at home with cognitive alterations. Which statement by the family indicates a need for further education?
a. "I should keep the home free of scissors."
b. "I should minimize the number of visitors."
c. "I should use push-button door locks."
d. "24-hour supervision may become necessary."
ANS: C
Use of door locks that require a key may be necessary if the patient wanders. Keep the environment free of hazards such as sharp objects, and minimize distractions. If the patient is not safe to be left alone, 24-hour supervision may be necessary.
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A client's small-bore feeding tube has become occluded after the nurse administered medications. What actions by the nurse are best? (Select all that apply.)
a. Attempt to dissolve the clog by instilling a cola product. b. Determine if any of the medications come in liquid form. c. Flush the tube before and after administering medications. d. Mix all medications in the formula and use a feeding pump. e. Try to flush the tube with 30 mL of water and gentle pressure.
Order: Wellcovorin (leucovorin calcium) 10 mg/mPO stat. The label on the ampule reads 3 mg/mL. Calculate how many milliliters you will prepare for a child whose BSA is 0.96 m2
1. 0.32 mL 2. 3.3 mL 3. 33 mL 4. 3.2 mL
Prepare a 50 mg dose from a supply of 12.5 mg per mL
What will be an ideal response?
A nursing student has made an error in judgment regarding the administration of a medication to a child resulting in an extended length of stay in the hospital for the child. The instructor tells the student that:
1. "You may be sued by the hospital for the extra care cost to the client.". 2. "You have compromised the standards of nursing.". 3. "You have placed the nursing student program in danger.". 4. "You have set a bad example for the other students.".