A nurse is making entries into a medical administration chart of a client scheduled for
bypass surgery. As per physician's orders, aspirin was discontinued for the client. What
guideline should the nurse follow when a medication is discontinued?
A) Discard all leftover medications
B) Indicate time, date, and sign off the order
C) Circle the item and write "completed"
D) Ask client to inform nurse involved
B
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A woman is admitted with vaginal bleeding at approximately 10 weeks of gestation. Her fundal height is 13 cm. Which potential problem should be investigated?
a. Placenta previa b. Disseminated intravascular coagulation (DIC) c. Hydatidiform mole d. Abruptio placentae
The son of an older adult client with obsessive-compulsive disorder states to the nurse, "I want to contact the fire department about the situation; the house is nothing but boxes and bags of saved items."
Which is the most appropriate nursing diagnosis for this situation? A) Ineffective Coping B) Deficient Knowledge C) Risk for Caregiver Role Strain D) Anxiety
If a nurse suspects a coworker is abusing chemicals, the nurse should:
a. try to help the coworker. b. refer the coworker to a substance abuse program. c. report the coworker to nursing administration. d. call the police.
A nurse working in the emergency department is seeing an older patient who does not speak English well
The nurse calls for an interpreter. The student wants to know why the patient's minor child, who speaks English, cannot interpret. What response by the nurse is best? (Select all that apply.) a. The child may not accurately translate. b. The child and older adult may be embar-rassed. c. The patient has the right to interpretation. d. Having a child interpret takes too much time. e. Privacy laws prohibit this practice.