The hospital policy and procedure manual states that medications should be charted immediately after administration. The nurse routinely charts the medications as they are being prepared for administration. What does this practice reflect?

1. Use of the two schools of thought doctrine
2. Logical and appropriate variation in practice
3. An honest error in judgment
4. A violation of hospital policy and procedure


4
Rationale: The two schools of thought doctrine is used when the court evaluates the standards of care given when the nurse chooses among the alternative modes of treatment. The alternative mode still has to meet standards of care.

Nursing

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An infertile patient has received two 5-day courses of clomiphene [Clomid] to help her conceive. An ultrasound 1 week after the last dose reveals that follicular maturation has occurred without ovulation

The nurse expects the next step for this patient to be: a. administration of human chorionic gona-dotropin (hCG). b. an order for cabergoline to be given twice weekly. c. evaluation of ovarian and pituitary func-tion. d. repeating clomiphene once daily for 5 days.

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The client has been splashed in the eye with a weak acid and is to have the eye irrigated. The nurse should direct the flow to which area of the eye?

A. Against the center of the eye B. From the inner canthus to the outer canthus C. From the outer canthus to the inner canthus D. Against the inner aspect of the eyelid, avoiding direct contact with the corneal surface

Nursing

Clients using a monoamine oxidase (MAO) inhibitor should avoid the use of:

a. oral decongestants. c. aspirin. b. multivitamin products. d. laxatives.

Nursing

Which of the following is an essential characteristic of a community?

a. A geographic area with defined boundaries b. A particular place over time for common purposes c. A place and beliefs or value systems d. A place or common demographic characteristics

Nursing