A nurse has been administering a client's pain medications to herself and providing the client who is cognitively impaired with an aspirin as a substitute. Once discovered, the nurse is referred to the peer assistance program
Which of the following are goals of the program? (Select all that apply.) a. Provide her with legal advice.
b. Ensure the nurse does not harm clients.
c. Ensure that the facility and coworkers are aware of the problem so they can support her.
d. Revoke the nurse's licensure.
e. Monitor her when she returns to work.
f. Ensure the nurse has medical treatment for the problem.
B, E, F
Goals of peer assistance programs include to assist impaired nurses to receive treatment; protect the public from impaired nurses; help the recovering nurse reenter the nursing workforce in a planned, safe manner; and monitor the nurse's recovery for a time.
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A patient, age 72, was admitted to the medical unit with a diagnosis of angina pectoris. Characteristic signs and symptoms of angina pectoris include:
a. substernal pain that radiates down the left arm. b. epigastric pain that radiates to the jaw. c. indigestion, nausea, and eructation. d. fatigue, shortness of breath, and dyspnea.
The home care nurse is conducting patient teaching with a patient beginning corticosteroid therapy
To achieve consistency with the body's natural secretion of cortisol, when would the home care nurse instruct the patient to take her corticosteroid medication? A) In the evening between 4 PM and 6 PM B) Prior to going to sleep at night C) At noon every day D) In the early morning between 7 AM and 8 AM
Which statement is true regarding hormone antagonists?
1. They are cytotoxic. 2. They enhance substances essential for hormone growth. 3. They produce similar debilitating adverse effects that other antineoplastics produce. 4. They can produce debilitating adverse effects at high doses for prolonged periods.
A newly admitted patient with depression has been determined as suicidal and in need of one-to-one supervision. What is the best statement to inform the patient of the plan of care?
a. "A staff member will be with you at all times to watch you for suicide gestures." b. "On this unit, a staff member stays with each new admission for the first 24 hours." c. "We understand the impulse to attempt self-harm may be strong, so someone will stay with you to help you control the impulse." d. "We are not sure you would be willing to tell a staff member if the urge to com-mit suicide becomes strong, so to prevent hospital liability someone will stay with you."