Following administration of a drug to a client, who has the greatest responsibility for monitoring the client for adverse reactions?
1. The nurse.
2. The nursing assistant.
3. The family of the client.
4. The physical therapist.
Correct Answer: 1
Rationale 1: The nurse is correct because the nurse is responsible for the care of the client. Other staff members may assist the nurse in obtaining information, but the nurse will need to evaluate the client and report to the physician as necessary.
Rationale 2: The nursing assistant is incorrect because the nurse is responsible for the care of the client. The nursing assistant can notify the nurse of any unusual behaviors or new symptoms for the nurse to evaluate.
Rationale 3: The family of the client is incorrect because the nurse is responsible for the care of the client. The family can notify the nurse of any unusual behaviors or new symptoms for the nurse to evaluate.
Rationale 4: The physical therapist is incorrect because the nurse is responsible for the care of the client. The physical therapist can notify the nurse of any unusual behaviors or new symptoms for the nurse to evaluate.
Global Rationale: The nurse is correct because the nurse is responsible for the care of the client. Other staff members may assist the nurse in obtaining information but the nurse will need to evaluate the client and reporting to the physician as necessary. The nursing assistant is incorrect because the nurse is responsible for the care of the client. The nursing assistant can notify the nurse of any unusual behaviors or new symptoms for the nurse to evaluate. The family of the client is incorrect because the nurse is responsible for the care of the client. The family can notify the nurse of any unusual behaviors or new symptoms for the nurse to evaluate. The physical therapist is incorrect because the nurse is responsible for the care of the client. The physical therapist can notify the nurse of any unusual behaviors or new symptoms for the nurse to evaluate.
You might also like to view...
A nurse is asked to provide a brief presentation comparing and contrasting the types of biologically based therapies. Which will the nurse include in the presentation? Select all that apply
1. Supplements 2. Herbal products 3. Naturopathic medicine 4. Homeopathic medicine 5. Ayurveda
A client is prescribed ranitidine. A review of the client's medication history reveals that she also takes warfarin for treatment of deep vein thrombosis. The nurse would monitor the client for which of the following?
A) Decreased white blood cell count B) Increased risk of respiratory depression C) Increased risk for bleeding D) Decreased seizure threshold
After invasive procedures to assess the respiratory system, which of the following signs should the nurse assess?
A) Watery sputum C) Respiratory distress B) Loss of consciousness D) Masses in pleural space
After taking vital signs, you write down your findings as: T = 98.4ยก F, P = 86, R = 20, BP = 130/76. Which of these numbers is the systolic pressure?
1. 130 2. 76 3. 86 4. 54