Which of the following is not included in the TJC guidelines for verbal orders?
A. Write the order.
B. Confirm the order.
C. Read the order.
D. Revise the order.
Answer: D
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A nurse is caring for a patient diagnosed with Addison disease. Which signs and symptoms should lead the nurse to suspect an adrenal crisis?
a. Hypertension and abdominal pain b. Confusion and tachycardia c. Bradycardia and nausea d. Widening pulse pressure and shortness of breath
Heart failure (HF) is a problem after the child has had a congenital heart defect repaired. The nurse knows a sign of HF is what?
a. Wheezing b. Increased blood pressure c. Increased urine output d. Decreased heart rate
The client who is receiving intravenous chemotherapy (into a peripheral line) with an agent that is an irritant says that her arm burns terribly at and around the IV site. What is the nurse's best first action?
A. Check for a blood return. B. Slow the rate of infusion. C. Discontinue the infusion. D. Apply a cold compress to the site.
A potential nursing student is visiting the website of some nursing programs and notes that the school states:
"The curriculum is built on the Essentials of Baccalaureate Education to ensure that this nursing program meets the standards set for educating nurses at the baccalaureate level." Which organization oversees professional nursing programs and establishes these essentials? a. American Association of Colleges of Nursing (AACN) b. American Nurses Association (ANA) c. National Council of State Boards of Nursing (NCSBN) d. National League for Nursing (NLN)