The nurse provides a pain medication to a patient. The patient did not ask for the medication. What should the nurse do?
a. Nothing.
b. Document the effectiveness of the medication.
c. Provide the time of the pain medication during the next shift report.
d. Report the error.
D
All errors should be reported. An error is any unintended act of omission, meaning something was not done that should have been, or commission, meaning something was done that should not have been done.
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A patient with a suspected cervical spine fracture is undergoing computed tomography (CT) of the cervical spine for definitive diagnosis. During the procedure, what is the nursing priority?
A) Protection of cervical spine stability B) Reassurance and anxiety reduction C) Explanation of the reason for the test D) Evaluation for allergic response to contrast medium
Where can a nurse refer the family of a patient to find a source of financial aid to meet medical expenses?
a. A local bank b. A clinical nurse specialist c. The hospital administration d. Social services
An older patient has a blood pressure reading of 150/88. The patient reports no other symptoms or medical history of illness. What should the nurse instruct the patient to do?
1. Have the blood pressure rechecked in a month. 2. Do nothing since this is a normal variant of aging. 3. Go to the emergency department for further evaluation and treatment. 4. Contact the primary care provider for further evaluation and treatment.
The nurse is teaching parents about high-fiber foods that can prevent constipation. What foods should the nurse include in the teaching? (Select all that apply.)
a. Oranges b. Bananas c. Lima beans d. Baked beans e. Raisin bran cereal