How many rights must be practiced in regard to medication administration?
A) Three
B) Four
C) Five
D) Six
D
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A nurse is using the scientific method to solve a patient situation. Which action should the nurse take first?
a. Collect data. b. Identify a problem. c. Formulate a question. d. Evaluate the results.
The nurse is changing an abdominal dressing on a disoriented 89-year-old man, when he grabs the nurse's breast with both hands and pulls it toward his mouth, muttering something about "Mary" (his wife). The best therapeutic response is:
1. Stereotype him as a "dirty old man" and warn the rest of the staff to stay away from him. 2. Get a doctor's order for wrist restraints when nurses go near the patient, such as for dressings, baths, and feedings. 3. Maintain eye contact with the patient and then clearly tell him, and repeat, "I am your nurse, I am coming to help you eat, bathe, and change your stomach band-age. I am not Mary." 4. "That dressing needs changing. Don't be a naughty boy with me again or I will slap your hands and call Mary to come and do all your care herself!"
A nurse is caring for a 14-year-old girl following myelography. What is the priority nursing action at this time?
A) Monitor for a decrease in spasticity. B) Observe for signs of meningeal irritation. C) Assess motor function. D) Observe for mental confusion or hallucinations.
A patient asks a nurse if it is possible to contract a disease by donating blood. How would the nurse respond?
A) "There is only a very small chance; I know you will be safe." B) "Although hepatitis is possible, AIDS is not." C) "If I were you, I would request special handling of my blood." D) "There is no way you can contract a disease by giving blood."