When doing the morning medication count for the past two weeks, the nurse noticed several drugs that had been "wasted" or "re-ordered." Which of the following is the most appropriate intervention when suspecting drug diversion?
1. Set up a "sting" operation
2. Obtain definitive evidence
3. Stay out of the situation
4. Document findings
4
Rationale: It is important that the problem be documented. Staying out of the situation ignores the problem and is unethical and illegal. It is not part of the nurse's role to obtain evidence through a "sting" operation.
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An older man who is a non-Hispanic Caucasian has a fasting blood sugar level above 130 mg/dl. Which patient assessment does the nurse use to confirm a high risk for diabetes mellitus in this man?
a. 68 years of age c. Palpable peripheral pulses b. 120/80 mm Hg d. Total cholesterol 198 mg/dl
A 26-year-old man was helping a friend replace a roof on his backyard shed after work on a hot July afternoon. His friend brought him to the hospital after the patient complained of severe muscle cramps and became confused
Which of the following should the admitting nurse do first when assessing the patient? a. Place the patient in a tub of iced water. b. Take the patient's temperature. c. Remove fans to prevent premature chilling. d. Apply a hyperthermia blanket to lower temperature slowly.
The nurse suspects that the client is a substance abuser. Which clinical manifestation causes the nurse to suspect cocaine abuse rather barbiturates?
A. Shallow respirations B. Pupillary constriction C. Tachycardia D. Flushing
The DESI and OTC Review processes required that all drugs be evaluated so they could be certified as
A. GRAE B. GRAS C. GRAHL D. all of the above