The charge nurse asks you to admit Mr. P. The flu is running rampant through the unit and you are very short staffed. The nurse then asks you to do the assessment and full nursing process for Mr. P. You are an LPN/LVN

Your response to the charge nurse is: (SELECT ALL ANSWERS THAT APPLY)
A) "I am only an LPN/LVN. I am not allowed to 'assess.'"
B) "I would be happy to orient Mr. P and begin data collection."
C) "I will be happy to work with you or the RN on this patient's nursing process."
D) "You know that is not in my scope of practice."
E) "How quickly do you need it done?"
F) "May I have a nurse's aide to assist me?"


B, C

Nursing

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A patient is admitted with an immunologic problem and IV gamma-globulin is ordered. What should the nurse monitor for as a potential side effect of IV gamma-globulin?

A) Anaphylactic reaction B) Hypertension C) Hypothermia D) Joint pain

Nursing

The nurse is caring for a patient who is to be discharged from the hospital on etanercept (Enbrel). Which of the following instructions should the nurse include in the patient teaching?

a. Eat high-fat foods to enhance absorption. b. Avoid live vaccines. c. Avoid all forms of alcohol. d. Practice passive range of motion exercises daily.

Nursing

Which chest structure contains all the thoracic viscera except the lungs?

a. Manubrium b. Mediastinum c. Sternum d. Xiphoid

Nursing

In the emergency department, a patient's vital signs are: blood pressure (BP), 66/40 mm Hg; pulse (P), 140 beats per minute (bpm); and respirations (R), 8 breaths per minute and shallow. The patient overdosed on illegally obtained hydromorphone (Dilaudid)

Select the priority outcome. a. Within 8 hours, vital signs will stabilize as evidenced by BP greater than 90/60 mm Hg, P less than 100 bpm, and respirations at or above 12 breaths per minute. b. The patient will be able to describe a plan for home care and achieve a drug-free state before being released from the emergency department. c. The patient will attend daily meetings of Narcotics Anonymous within 1 week of beginning treatment. d. The patient will identify two community resources for the treatment of substance abuse by discharge.

Nursing