The LPN/LVN notices that another nurse has made errors in practice and judgment over the past few weeks. In addition, the nurse's personality has undergone changes, such as irritability and unpredictability when responding to others
A patient mentioned to the LPN/LVN that when the nurse administered medication for pain relief, it didn't work as well as it had earlier in the day. Based on this information the LPN/LVN should
a. notify the state board of nursing.
b. confront the nurse with the observations.
c. call Employee Health and discuss the matter.
d. report these findings to the nurse in charge.
ANS: D
The observations suggest signs of chemical dependency but are not entirely diagnostic. The LPN/LVN must work within the structure of the agency. This would require involving the individual who is the direct supervisor of the staff member, who will pursue the problem according to agency policy. The LPN/LVN has a duty to report suspected use or abuse of alcohol or other drugs.
You might also like to view...
Client teaching for a client who has moderate to severe premenstrual syndrome (PMS) should include which aspect?
a. avoiding caffeine, salt, and chocolate b. participate in a regular exercise routine c. eating oranges, tomatoes, and yellow vegetables d. taking a daily multivitamin with calcium supplement e. consuming a diet rich in whole grains, nuts, and legumes f. sipping herbal teas
Couples at risk for having a detectable single gene or chromosomal anomaly may wish to undergo which procedure?
1. Preimplantation genetic screening (PGS) 2. Preimplantation genetic diagnosis (PGD) 3. Intracytoplasmic sperm injection (ICSI) 4. Gamete intrafallopian transfer (GIFT)
A client complains of constipation and requires a laxative. In providing teaching to the client, the nurse reviews the common causes of constipation, including which cause?
a. Motion sickness b. Lack of exercise c. Food intolerance d. Bacteria (Escherichia coli)
Using the common dosage ranges of the beta-adrenergic blocking drugs, select the correct dosage range of propranolol (Inderal) for the treatment of angina pectoris.
A. 80-320 mg by mouth B. 40-120 mg by mouth C. 20-40 mg by mouth D. None of these are correct.