The nurse is caring for a client admitted yesterday with an intraosseous (IO) infusion after a car crash. Which action by the nurse takes priority?
a. Ensure that the IV flow rate has been recalculated for an IO infusion.
b. Plan to insert another kind of IV line during the shift.
c. Determine which IV medications can be given safely via the IO.
d. Monitor the site and dressings routinely for hemorrhage.
B
IO infusions, although valuable in an emergency, should be left in place for only 24 hours. The nurse should plan to insert a peripheral IV sometime during the shift. IV solutions, flow rates, and medications are given the same way that they are given IV. Hemorrhage is not a complication of IO infusion.
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The nurse is presenting an early pregnancy class to a group of pregnant women. Which statement indicates a need for further education? "The placenta:
1. "Develops and grows larger until about 20 weeks' gestation." 2. "Creates hormones and enzymes that are necessary during pregnancy." 3. "Ages and becomes less permeable during the last month of pregnancy." 4. "Floats in the amniotic sac and filters waste products from the fetus."
A nurse aide reports to the nurse that the 87-year-old client is not breathing well and has cold and mottled skin. The client has a living will and requests comfort measures only. The nurse's action to care for this client would be to:
1. Withhold pain medication, hygiene, and nutrition until the client dies. 2. Contact the physician for orders to control the client's breathing. 3. Ask the family what they want to be done for the client. 4. Instruct the nurse aide to provide personal hygiene and skin care as outlined in the care plan.
A nurse is working on a committee involved in adopting electronic healthcare systems for the agency
Currently, the agency has clinical documentation, a clinical decision support system (CDSS) with error checking, and a picture archive and communication system (PACS) in place. The committee determines that the agency is at which of the following stages of adoption? A) Stage 0 B) Stage 1 C) Stage 2 D) Stage 3
What can you do if you want to add a specific teaching in the patient education activity?
A. Use the add rows button B. Use the add title button C. Use the new problem button D. Use the apply template button