You are an LVN/LPN who works on a very busy 35-bed medical-surgical unit. The RN Team Leader gives you a syringe with "pain medication" in it and asks you to administer this medica-tion to a patient. Your first action is to:
1. Assist the Team Leader by giving the medication as requested for this time only.
2. Administer the medication this time because it is an emergency.
3. Take time and prepare the medication and give as prescribed.
4. You don't have to do anything; it is not your patient.
3
It must be stressed that you never give medication prepared by another nurse. Even when you are very busy, when there is an emergency, or when you are interrupted, you cannot assume that all the "rights" are followed unless the person who prepared the medication is the one who gives the medication.
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A director must discipline an ICU manager. The director and manager have become friends. When disciplining the manager, what is the best approach by the director?
1. Notify the human resources director that the meeting will occur. 2. Include the chief nurse officer (CNO) in the session. 3. Ask a manager from another department to sit in on the meeting. 4. Discuss the issue, concentrate on the issue, and do not make it personal.
Which action demonstrates that the nurse understands the purpose of the Rapid Response Team?
a. Monitoring the client for changes in postoperative status such as wound infection b. Documenting all changes observed in the client and maintaining a postoperative flow sheet c. Notifying the physician of the client's change in blood pressure from 140 to 88 mm Hg systolic d. Notifying the physician of the client's increase in restlessness after medication change
Clomiphene (Clomid, Serophene) is prescribed for a female client to treat infertility. The nurse is providing information to the client and her spouse about the medication. What should the nurse tell the couple?
A. The couple should engage in coitus once a week during treatment B. The health care provider should be notified immediately if breast engorgement occurs C. If the oral tablets are not successful, the medication will be administered intravenously D. Multiple births occur in a small percentage of clomiphene-facilitated pregnancies
Automated computerized staffing allows for which advantage to the institution?
a. Reduces workload of nurse manager b. Provides coverage on weekends c. Uses part-time staff d. Provides coverage for daily changes in acuity of patients