After drawing up heparin from a vial, what is the next thing the nurse should do before giving this medication to the patient?
a. Check the syringe size and needle again.
b. Look at the color of the solution.
c. Let another nurse check the dosage.
d. Check the order one more time.
ANS: C
Because of severe adverse effects if inaccurate doses are given, once the heparin is drawn into a syringe, double-check the dosage with another nurse.
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A 30-year-old male patient has just returned from the operating room after having a "flap" done following a motorcycle accident. The patient's wife asks the nurse about the major complications following this type of surgery
What would be the nurse's best response? A) "The major complication is when the patient develops chronic pain." B) "The major complication is when the patient loses sensation in the flap." C) "The major complication is when the pedicle tears loose and the flap dies." D) "The major complication is when the blood supply fails and the tissue in the flap dies."
When doing an admission assessment for a patient, the nurse notices that the patient pauses before answering questions about the health history. Which action by the nurse is most appropriate?
a. Interview a family member instead. b. Wait for the patient to answer the questions. c. Remind the patient that you have other patients who need care. d. Give the patient an assessment form listing the questions and a pen.
Which would be considered a serious epidemic of influenza?
a. 50 cases b. 100 cases c. 500 cases d. Unable to determine
The nurse assesses that the client may need a restraint and recognizes that:
1. An order for a restraint may be implemented indefinitely until it is no longer re-quired by the client 2. Restraints may be ordered on an as-needed basis 3. No order or consent is necessary for restraints in long-term care facilities 4. Restraints are to be periodically removed to have the client reevaluated