You are supervising a nurse on orientation to the unit who is discharging a pt admitted with kidney stones who underwent lithotripsy. which statement by the nurse to the pt requires that you intervene?
a. you should finish all your antibiotics to make sure that you don't get a UTI
b. remember to drink at least 3 L of fluids every day to prevent another stone from forming
c. report any signs of bruising to your physician immediately, since this indicated bleeding
d. you can return to work in 2 days to 6 weeks, depending on what your physician prescribes
Answer: c. report any signs of bruising to your physician immediately, since this indicated bleeding
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An adolescent is receiving methotrexate chemotherapy after undergoing limb-salvage surgery for osteogenic sarcoma. The nurse knows the teen understands what to expect for the schedule of administration for leucovorin therapy if the teen says:
1. "I don't have any pain, so I won't need to take the leucovorin this time." 2. "I don't have any nausea, so I won't need the leucovorin." 3. "I'm glad I only need one dose of the leucovorin." 4. "It is important that I receive my leucovorin on time as it protects my body from the methotrexate."
Listening responses are communication techniques that enable the nurse to do all of the following, EXCEPT
a. communicate empathy, concern, and attentiveness. b. accurately receive, process, and respond to patient messages. c. understand the context of the patient's experiences. d. offer judgment about the appropriateness of the patient's responses.
The nurse is preparing medications for a group of patients. Another nurse begins telling the nurse about her recent engagement. What is the best action by the first nurse?
1. Ask the second nurse to help with administering medications so they can have more time to talk. 2. Continue to prepare the medications for administration and pretend to listen to the first nurse. 3. Stop preparing medications until the first nurse has finished talking about her engagement. 4. Tell the second nurse that the conversation is distracting and must cease while medications are being prepared.
The nurse coming on duty received in report that the client's lung sounds were clear to auscultation in all lobes. The nurse coming on heard moderate-intensity and moderate-pitch "blowing" sounds between the scapulae and lateral to the sternum at the first and second intercostal spaces when doing her own assessment. Which should the nurse do next?
A. Encourage the client to cough and deep breathe. B. Notify the healthcare provider of abnormal breath sounds. C. Document assessment findings as normal breath sounds. D. Raise the head of the bed to allow maximum air excursion.