A community health nurse is assigned to cover a school health office when the school's nurse is ill. A child is waiting for the nurse's arrival, saying a particular medication is needed. Which of the following can the nurse expect to find

in the school health office? (Select all that apply.)
a.
A nursing policy book with standing orders and nursing protocols
b.
Medications clearly labeled with student name, as well as typical medication information (e.g., name, dose)
c.
Approval from the student's teacher for the student to see the nurse for the medication each day
d.
The student's written assent for the medication to be administered when requested
e.
Written request from a health care provider for that student to receive that medication
f.
Written request from the student's parents for the specific medication to be administered


ANS: A, B, E, F
The guidelines from the National Association of School Nurses indicate that medications should be in containers that are properly labeled with all appropriate student and medication information, accompanied by a written request from the health care provider and parent or guardian, and administered without violating standing orders or nursing protocols. The nurse would not typically find an approval from the student's teacher for the student to see the nurse each day for a medication or a student's assent for the medication to be administered. The parents and health care provider are responsible for the written request for the medication to be administered.

Nursing

You might also like to view...

To retain supervisory staff members, the director of nursing develops a mentoring program. The best person to be a mentor for a new supervisor in a leadership position is someone who has:

a. Been in exactly the same position and can relate to the new supervisor's problems. b. Had vast leadership opportunities and likes to talk about his or her past expe-riences. c. Leadership experience and time to spend communicating with the new supervisor about his or her experiences. d. People who can help the new supervisor get what he or she needs to make the or-ganization grow quickly and prosper in the process.

Nursing

Which client is at highest risk for developing dehydration and hypernatremia as a result of enteral feedings?

a. Client receiving an isotonic enteral feeding solution and an IV of D5W (dextrose 5% in water) at 83 mL/hr b. Client receiving a hypertonic enteral feeding solution and an IV of normal sa-line (0.9 NS) at 125 mL/hr c. Client who can drink liquids and is re-ceiving a supplemental hypertonic enteral feeding solution d. Client receiving a hypertonic enteral feeding solution and an IV of 0.45% NS (0.45 NS) infusing at 125 mL/hr

Nursing

A pregnant client is admitted to the emergency department with bleeding. The nurse realizes that the client might have placenta previa. Which signs would be suggestive of placenta previa?

1. Bright red vaginal bleeding 2. Sudden onset of vaginal bleeding 3. Firm and hard uterus 4. Change in the size of abdomen

Nursing

The physician prescribes a newer antithrombin medication that is given subcutaneously 15 minutes prior to hip replacement surgery for prophylaxis of DVT. Which medication does the nurse anticipate administering to this client?

1. Argatroban (Acova) 2. Lepirudin (Refludan) 3. Desirudin (Iprivask) 4. Bivalirudin (Angiomax)

Nursing