When providing report to the oncoming shift, which of the following data would the nurse exclude from the change of shift report?
1. Mr. Timby received 50 mg of Demerol IM at 0430.
2. Mrs. Buxtom's vital signs were stable throughout the night.
3. Mr. Lynn and Mr. Jones were discharged tonight.
4. Mr. Shelby's wife assists in giving care to her husband.
3
Rationale: Since the clients are no longer in the facility, the next shift does not need to know that Mr. Lynn and Mr. Jones were discharged. The oncoming nurse needs to know about medications, vital signs, and concerns expressed by the family of the client they'll be caring for throughout the shift.
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MC An infant warmer is used in the newborn nursery to ensure maintenance of adequate body temperature. The major safety factor involved with the use of the warmer is to
A. Ensure warmer is on manual control. B. Tape thermometer skin probe in place. C. Inspect skin under temperature probe at routine intervals. D. Adjust temperature of warmer each day to ensure it is set at 102°F.
The telephone triage nurse receives a call from a patient asking for a prescription for a narcotic to manage his surgical pain. The nurse explains that narcotic prescriptions must be written and cannot be called in to the pharmacy
The patient says, "Why are narcotics so difficult to get a prescription for?" What is the nurse's best response? A) "The Drug Enforcement Agency (DEA) determines the risk for addiction and the Food and Drug Administration (FDA) enforces their control." B) "The increase in the number of drug addicts has made the rules stronger." C) "The Centers for Disease Control and Prevention (CDC) regulates use of controlled substances to reduce the risk of injury." D) "Controlled substances like narcotics are controlled by the FDA and the DEA."
Why are nurses valuable members of ethics committees?
1. They have more time to work on committees than many healthcare providers. 2. Their wages are lower than many disciplines so it is more cost effective. 3. They are direct and to the point and make decisions quickly. 4. They frequently have more contact with clients and families than other disciplines.
The patient diagnosed with anorectal incontinence should be taught by the nurse to:
1. take a laxative daily. 2. increase fiber in the diet. 3. do pelvic muscle exercises. 4. administer daily enemas.