A labor and delivery nurse notifies the physician several times about the deterioration of fetal status as noted by frequent late fetal heart-rate decelerations during contractions. The physician fails to come to the hospital to examine the client
What should the nurse do? a. Continue to call the doctor about the client's condition.
b. Ask a more experienced nurse to review the fetal heart monitor strip.
c. Request another physician to see the client.
d. Activate the chain of command for the institution.
D
In the case of non-resolution of a client care issue, the nurse should activate the facility's chain of command, which is the best action to take to accomplish resolution for the client. Continuing to call the physician may only further delay needed care. Collaborating with a more experienced nurse does not address the fact that the client needs medical care outside the scope of RN nursing practice. Requesting another physician does not address the more important concept of nursing responsibilities.
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A patient has been suffering from senile dementia, Alzheimer's type, for over 5 years. Her family has kept her at home, and each member has participated in her care
The community health nurse has been supporting the family in this effort. Recently, the patient has stopped interacting with the family, refuses to eat, and sleeps a great deal. The family is conflicted over how to care for their dying mother. The nurse understands that her role in this conflict is to: A. Say nothing; this is a family issue. B. Speak with the members individually and persuade them to do "what is best for their mother." C. Discuss the conflicting opinions with the physician. D. Persuade the family members to meet together to express their feelings to one another.
What would be appropriate sources of support for the grieving patient? (Select all that apply.)
a. Friends b. Family c. Self-help magazines d. Support groups e. Therapist
The nurse entering the client's room notes that the client is sweating and appears to be pale and gasping. The initial action by the nurse is to:
1. Assess the client. 2. Notify the physician. 3. Administer 10L of oxygen per nasal cannula. 4. Reposition the client.
Insulin injection sites must be rotated to several sites on the body to prevent scarring of tissue of a single
site. Indicate whether the statement is true or false