Mrs. Walsh requested more pain medication. According to the MAR, she can have the medication
every four hours. She last received a dose at 1400 and it is now 1630 . The healthcare provider gives the
medication.
This violates the basic right of the right __________ for medication administration.
Fill in the blank(s) with correct word
time
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While performing a physical assessment on an adult client, the nurse identifies an unfamiliar heart sound. The nurse suspects that this is a murmur. Which nursing action is most appropriate?
1. Informing the client of "the abnormality." 2. Stopping the assessment and referring the client to the healthcare provider immediately. 3. Bring in another examiner to assess the finding. 4. Documenting the finding and reassessing at the client's next visit.
The dressing surrounding a mastectomy patient's Jackson-Pratt drain has scant drainage on it. The nurse believes that the amount of drainage on the dressing may be increasing. How can the nurse best confirm this suspicion?
A) Describe the appearance of the dressing in the electronic health record. B) Photograph the patient's abdomen for later comparison using a smartphone. C) Trace the outline of the drainage on the dressing for future comparison. D) Remove and weigh the dressing, reapply it, and then repeat in 8 hours.
A nurse is admitting a new patient to the nursing unit. When conducting the admission procedure, what is important for the nurse to ask in order to assess the patient's risk for falling?
a. "How many times have you fallen be-fore?" b. "How many hours do you sleep at night?" c. "What are your eating habits?" d. "Do you smoke?"
A patient has burns that are pale and leathery and reports little pain from the burn site. How should the nurse classify this burn?
A) Superficial B) Superficial partial thickness C) Deep partial thickness D) Full thickness