A nurse forgets to raise the railings of the bed of a patient who is confused after taking pain medications. The patient attempts to get out of bed, and suffers a minor fall
The nurse asks a colleague who witnessed the fall not to mention it to anyone because the patient only had minor bruises. What would be the appropriate action of the colleague?
A) No other steps need to be taken, since the patient was not seriously injured.
B) The colleague should inform the nurse that a full report of the incident needs to be made.
C) The colleague should monitor the patient closely for any adverse effects of the fall.
D) The colleague should report the incident in a peer review of the nurse.
B
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The probability of effectiveness of the change process can be increased through several techniques. Which of the following actions will likely increase effectiveness (select all that ap-ply)?
a. Explain the rationale for a change so that individuals understand it. b. Simply announce the change without lay-ing a foundation. c. Give participants all the information they need. d. Rely only on formal authority in imple-menting change. e. Help individuals cope with change.
The nurse is evaluating care provided to a patient giving birth to her first child. Which outcome regarding labor indicates that care has been effective?
A) Client achieved 4 cm of dilation after 7 hours of labor. B) Client achieved full dilatation after 8 hours of labor. C) Client delivered infant within 2 hours after full dilatation with epidural. D) Client delivered infant within 30 minutes after full dilatation without epidural.
What is the value of the main line fluid rate for your client, whose total fluid intake is ordered at 150 mL/hr and who is also being given magnesium sulfate at 1 g/hr (1 g = 25 mL/hr) IV piggyback and pitocin
at 15 mU/min (l mU/min = 1 mL/hr) IV piggyback. What will be an ideal response?
During a conversation, the client states, "It's raining outside and raining in my heart
Did you know that St. Valentine used to visit jails? I've never been to jail." The nurse assesses that the client is experiencing a speech pattern commonly seen in manic episodes called what? A) Perseveration B) Circumstantiality C) Neologisms D) Flight of ideas