A nurse you are working with gets sick and goes home. You know that she charted before giving her medications, and you saw her passing some medications. You are not sure who got their medications and who did not. Mrs
G, a patient who is alert and oriented and a reliable historian for herself, sees you and says, "That new nurse forgot my medication this morning. It's my heart medication and I need it. Would you get it for me?" You see the medication has been charted already. Your next action would be:
A) Refuse the patient, telling her, "You're mistaken, Mrs. G. That medication is signed for, so you must have gotten it."
B) Give Mrs. G her heart medication and assume she is right.
C) Call the physician.
D) Inform your supervisor of the entire situation.
D
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Mr. Thiessen is a 60-year-old man whose bacteremia is being treated with intravenous gentamicin
After 4 days of treatment, the care team is pleased with the improvement in Mr. Thiessen's condition and the effect of the drug treatment on his blood cultures. During morning care, he has told the nurse that he is having ringing in his ears and woke up this morning with a pounding headache. How should the nurse respond to this patient's complaints? A) Document the patient's complaints and integrate them into his plan of care. B) Hold the next scheduled dose of gentamicin until the physician has been consulted. C) Administer the next scheduled dose of gentamicin over 90 minutes to 2 hours. D) Administer the gentamicin as ordered and continue to monitor the patient's symptoms closely.
When a 33-year-old patient with a spinal cord injury says to the nurse, "I've let my family down. I don't know what to do," the nurse's best response is:
a. "After your rehabilitation starts, you'll feel better." b. "You should be grateful you are alive." c. "What does this injury mean to you?" d. "Technological advances are changing the future for spinal cord injury victims."
A child diagnosed with Tourette's disorder is yelling obscenities during a nursing assessment. The nurse would correctly document this behavior as which of the following?
A) Echopraxia B) Copropraxia C) Dyslexia D) Enuresis
When the nurse develops a care plan for a child with severe burns, the nurse will most likely include which of the following interventions?
a. Perform active range-of-motion exercises using familiar toys or objects and passive range- of-motion exercises at least three times a day. b. Encourage bed rest without any more movement than is absolutely necessary. c. Allow the child to choose the amount of movement he or she is comfortable with, and do not push the child to perform exercises. d. Maintain joints in a position that is somewhat flexed.