The nurse is admitting a client to the emergency department with complaints of severe abdominal pain. What is the nurse's first action?

1. Administer IV pain medication as ordered.
2. Start an IV line of lactated Ringer's.
3. Assess pain using a scale of 1 to 10.
4. Place a Foley catheter to bedside drainage.


Correct Answer: 3
Rationale 1: This would occur after the client was assessed.
Rationale 2: This would occur after the client was assessed.
Rationale 3: Assessment should always occur before implementation.
Rationale 4: This may or may not be appropriate for the client.

Nursing

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Principles of a fair and just culture include (select all that apply):

a. zero tolerance for reckless behavior. b. reduction of personal accountability and discipline. c. recognition that competent professionals make mistakes. d. errors and unintended events being re-ported unless no patient harm occurs. e. acknowledgment that even competent professionals develop unhealthy norms.

Nursing

When administering medications the client states: "I've never taken this pill before. I really am not comfortable taking it." The best response of the nurse would be:

A) "Let me check the physician's order and verify it is the correct medication." B) "It is probably a generic formulation of the drug and it doesn't look like the medication you are familiar with taking." C) "It is okay if you are not comfortable taking the medication. You have a right to refuse." D) "The physician probably added a new medication to your regimen."

Nursing

A local health fair has employment agencies as part of the many booths that are in the tent. These employment agencies are assisting job seekers about employment in the nursing field

Which part of community health nursing provides first aid; administers medications; screens students for health problems, general fitness, and signs of abuse; monitors vital signs; participates in case management activities; changes dressings; and performs urinary catheterizations? A) Parish nursing B) Volunteer nursing C) Electronic community health nursing D) School nursing

Nursing

A primary line or piggyback is used to infuse medication or other compatible fluids

Indicate whether the statement is true or false

Nursing