The administration of drugs is controlled to protect consumers. The nurse understands the following legal aspects of drug administration: Standard Text: Select all that apply
1. The nurse practice act is a national standard.
2. Nurses must be able to recognize the limits of their own knowledge and skills.
3. Nurses are responsible for their own actions.
4. Nurses are responsible for documenting use of controlled substances.
5. Nurses are responsible for questioning any order that appears unreasonable.
2,3,4,5
Rationale: The nursing practice acts define and limit the functions of nurses, and vary from state to state.
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The nurse working in rehabilitation would most likely see what measure used to evaluate progress of patients in rehabilitation?
a. Katz index b. MDS c. FIM d. OASIS
A patient is diagnosed with a gastric ulcer located on the antrum. The nurse is aware that the ulcer may also affect the function of which adjacent structure?
1. Sphincter of Oddi 2. Acinus 3. Pyloric sphincter 4. Lower esophageal sphincter
The client with myasthenia gravis in cholinergic crisis has been treated with atropine. What nursing intervention is a priority for this client?
A. Suctioning the client B. Turning and positioning the client C. Measuring urinary output ever 30 minutes D. Administering anticholinergic drugs on time
Your client had gastric surgery and is restless, grimacing with each movement. Your client also has a rigid posture and is diaphoretic. On the basis of this objective data, what would you consider as a nursing diagnosis?
1. Nausea related to surgery and anesthesia 2. Acute pain related to surgical incision and movement 3. Injury related to retained surgical instrument 4. Acute pain related to lack of pain medication