Which observation requires an intervention of a new graduate nurse by her preceptor?
a. Administering a medication after checking the patient's name and birth date.
b. Leaving patient room without charting vital signs.
c. Reporting a patient's change in level of consciousness to the nurse practitioner.
d. Checking the apical pulse on a patient receiving digoxin (Lanoxin).
B
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A This is appropriate and does not require intervention.
B An advantage to computerized charting is the availability of charting at the bedside at the time of care and charting before leaving the patient room, which makes that information immediately available to all health care providers.
C This is appropriate and does not require intervention.
D This is appropriate and does not require intervention.
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A 9-year-old child who has been followed in the same pediatric health care home since birth is at the health care center for a well-child visit
A nurse who measures the height and weight of the child documents 35th percentile for height and 90th percentile for weight. How should the nurse interpret these data? 1. The child is beginning a growth spurt. 2. The child is obese, and needs dietary counseling. 3. The parents are most likely below the 50th percentile for height and weight. 4. As soon as the child begins the adolescent growth spurt, the height and weight measurements will normalize.
A patient is receiving fluorouracil (Adrucil) as a continuous intravenous dose to treat a solid tumor. The patient reports soreness and blisters in the mouth, loose stools, and tingling of the hands and feet. What will the nurse do?
a. Contact the provider to discuss bolus dosing instead of continuous dosing. b. Discontinue the medication and contact the provider to report these symptoms. c. Reassure the patient that these are expected, uncomfortable side effects. d. Request an order for dexamethasone to treat these side effects.
The plan of care for a client with schizophrenia identifies the following outcomes. Which of the following would the nurse identify as addressing the biologic domain? Select all that apply
A) Improving problem-solving skills B) Promoting economic stability C) Minimizing adverse effects of drug therapy D) Improving nutritional status E) Providing family education
A nurse is unhappy about the way medications are being administered on the unit. What does the nurse need to do first to facilitate a change in the process?
a. Initiate a new method starting with assigned patients.
b. Discuss concerns with fellow nurses.
c. Develop a better method to administer the medications.
d. Inform the charge nurse of how it can be done better.