Which scenario describes a situation in which the performance of the nurse does not meet the standard of care?
1. A nurse witnesses a patient fall and tries to assist the patient.
2. A patient with vomiting and nausea does not receive a breakfast tray.
3. A physician is questioned about an order to administer a medication that is five times the normal dosage.
4. A patient is medicated with acetaminophen for severe chest pain and the physician is not notified.
4
Rationale: Assisting a patient who has fallen is a situation in which a reasonable nurse would pursue a similar action and would be considered the standard of care.
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A patient is prescribed olanzapine (Zyprexa) for the treatment of schizophrenia. The patient tells the nurse he is voiding three times each night and is always thirsty
Based on the adverse effects of this medication, what should the nurse suspect the patient has developed? A) Urinary tract infection B) Diabetes mellitus C) Renal calculi D) Hyperthyroidism
While completing a discharge plan for a 24-year-old woman prescribed an antiepileptic drug, which comment should the nurse give the patient about this drug?
a. "If you stop taking the medication all of a sudden, an unpleasant, acute withdrawal syndrome is likely to occur." b. "You may probably stop taking this drug when you have had no seizures for 1 full year." c. "Let's talk about what kind of contraception you plan to use while you are taking this medication." d. "I know it's depressing to have to take a drug for the rest of your life, but you absolutely may not ever stop taking it."
To provide culturally effective care to migrant farm workers, nurses need to become more knowledgeable about the cultural backgrounds of these individuals. Which of the following is true about Mexican migrant workers?
1. Nurses can easily communicate with Mexicans if they can speak Spanish. 2. Traditional beliefs and practices are more common in people who are more edu-cated. 3. Nurses should always consult the female head of household about health care matters. 4. Mexico is a multicultural country; therefore the cultural backgrounds of Mexican immigrants vary depending on their place of origin.
B.T.'s wife takes you aside and tells you, "I'm so worried for B. I grew up in a really dysfunctional family where there was a lot of violence
B. has been so good to the kids and me. I'm so worried I'll lose him that I have nightmares about his heart stopping. I find myself suddenly waking up at night just to see if he's breathing." How are you going to respond?