Your patient holds an unusual-looking religious item when he prays. You should
A) handle the item with care and respect.
B) avoid touching the item.
C) pretend not to see the item.
D) remove the item and store it in a drawer.
A
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After shift change the nurse discovers that a client's IV heparin has been turned off at the IV controller. The amount of fluid left in the IV bag indicates that the client received half of the dose ordered
Which statement should be documented in the client's medical record? 1. IV heparin restarted. Physician notified. Client's vital signs unchanged. 2. IV heparin restarted at a rate to catch up dosage accidentally deleted. 3. IV heparin turned off by previous shift. Restarted. 4. IV heparin restarted and incident report completed.
Using the tympanic thermometer for a child, the nurse should pull the ear pinna:
a. upward and back. b. parallel. c. downward and back. d. upward and forward.
The nurse is caring for a postoperative patient in the critical care unit. The physician has ordered patient-controlled analgesia (PCA) for the patient. The nurse understands that the PCA: (Select all that apply.)
a. is a safe and effective method for administering analgesia. b. has potentially fewer side effects than other routes of analgesic administration. c. is an ideal method to provide critically ill patients some control over their treatment. d. provides good quality analgesia.
A nurse is planning health care for young adults. Which of the following factors about the interventions should be recognized by the nurse as having the greatest impact on whether they are effective?
a. Culturally sensitive b. Match the persons health care beliefs c. Cost effective d. Gender neutral