A nurse has called the state nursing board to discuss being an advocate for health policy change. The state BON representative gives which of the following as examples of appropriate ways for a nurse to advocate for policy change?
Select all that apply.
A. Reporting a newly diagnosed case of Listeria to the public health department
B. Informing staff about the signs and symptoms of a new virus infecting local residents
C. Random inspections of the nursing and clinical staff by the nursing director of a skilled nursing facility
D. Regularly using personal protective equipment
E. Working with the school board to include nutrition classes in the middle school curriculum
ANS: E
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A patient has been taking benzodiazepines and suddenly develops respiratory depression and hypotension. After careful assessment, the nurse determines that the patient is experiencing benzodiazepine overdose. What is the nurse's next step?
a. Decrease benzodiazepines to half the prescribed dose. b. Increase IV fluids to 500 cc/hr for 2 hours. c. Administer flumazenil (Romazicon). d. Discontinue benzodiazepine and start propofol.
A school-age child diagnosed with depression is receiving antidepressant therapy. The nurse would instruct the parents to notify the physician immediately if the child demonstrates which of the following?
A) Loss of interest B) Gastric upset C) Sedation D) Urinary retention
Martin is a 38-year-old patient with a long history of OCD, in which he must check that the door is locked for hours before leaving the house or going to bed at night. An appropriate nursing intervention for a patient with this disorder would be:
A) Restraining Martin in the recliner until he falls asleep B) Requiring Martin to list the reasons why he must lock the doors repeatedly C) Giving Martin a schedule to perform this ritual D) Offering Martin another behavior to substitute for this ritual
The nurse is reviewing the blood work of a client newly diagnosed with iron-deficiency anemia. Because of the way iron is stored in the body, the nurse pays closest attention to which lab value?
1. Serum ferritin 10 mg/mL 2. Red blood cell count of 5,000,000 3. Hb 10.1 gm/dL 4. Platelet count of 75,000