You are caring for a patient who has received moderate sedation for a procedure at the bedside. Which task can you delegate to the nurse assistant during this procedure?
a. Assessing sedation score
b. Obtaining blood pressure
c. Monitoring respiratory rate
d. Recording urine output
D
The task of assisting with IV moderate sedation, including the pre-procedure assessment, cannot be delegated to nursing assistive personnel (NAP). In most agencies, an RN or health care provider assesses and monitors a patient's level of sedation, airway patency, and level of consciousness. Roles in monitoring depend on scope-of-practice guidelines as determined by state regulations (see agency policy). You could delegate to assistive personnel the task of recording urine output.
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The patient is receiving continuous renal replacement therapy (CRRT). The rate of ultrafiltration shows a downward trend and coagulation of the filter is suspected. What is the most appropriate first nursing action?
A) Immediately disconnect circuit from the patient B) Decrease the rate of blood flow by pump C) Use a saline bolus to diagnosis clot location and extent D) Raise the ultrafiltration collection device
You have just received report on a 27-year-old woman who is coming to your unit from the emergency department with a torn meniscus
You review her PRN medications and see that she has an NSAID (ibuprofen) ordered every 6 hours. If you wanted to implement preventive pain measures when the patient arrives to your unit, what would you do? A) Use a pain scale to assess the patient's pain, and let the patient know ibuprofen is available every 6 hours if she needs it. B) Do a complete assessment, and give pain medication based on the patient's report of pain. C) Check for allergies, use a pain scale to assess the patient's pain, and offer the ibuprofen every 6 hours until the patient is discharged. D) Provide medication as per patient request and offer relaxation techniques to promote comfort.
A client receiving chemotherapy is prescribed dolasetron mesylate 100 mg IV. The nurse plans to administer the dolasetron mesylate:
a. as soon as the prescription is written. b. as soon as pharmacy supplies the drug. c. immediately prior to chemotherapy. d. 30 minutes prior to chemotherapy.
Which of the following drugs acts as an imposter of a building block necessary in the formation of DNA, thereby interfering with the normal production of DNA and resulting in cell death?
A. miotic inhibitors B. antibiotic antitumor drugs C. alkylating agents D. antimetabolites