The nurse is caring for a patient with a chest tube connected to water-seal drainage. The nurse may delegate which of the following tasks to nursing assistive personnel (NAP)?
a. Changing the chest tube drainage system
b. Milking the chest tube
c. Measuring chest tube output
d. Turning and positioning the patient
D
The NAP may turn and position the patient as long as the nurse ensures that the NAP understands how to manipulate the tubing safely and what signs and symptoms should be reported immediately. Care of the chest tube, including milking the tube if ordered, measuring chest tube output, and changing the chest tube drainage system, should never be delegated to unlicensed assistive personnel.
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The nurse is caring for a patient with a left subclavian central venous catheter (CVC) and a left radial arterial line. Which assessment finding by the nurse requires immediate action?
a. A dampened arterial line waveform b. Numbness and tingling in the left hand c. Slight bloody drainage at subclavian insertion site d. Slight redness at subclavian insertion site
Celecoxib (Celebrex) has been determined to be safe for use in children
Indicate whether the statement is true or false.
The manager is concerned that one staff nurse is demonstrating signs of substance abuse. Which behavior did the manager observe in the staff nurse? Select all that apply.
A. Calling for days off or illness before scheduled days off. B. Following up with nursing assistants on patient care needs. C. Excessive use of mouthwash. D. Using the bathroom frequently. E. Volunteering to transfer a patient to the intensive care unit.
A child who has congenital hypothyroidism takes levothyroxine 75 mcg/day. The child weighs 15 kg. The primary care NP sees the child for a 3-year-old check-up. The NP should consult with a pediatric endocrinologist to discuss:
a. increasing the dose to 90 mcg/day. b. decreasing the dose to 30 mcg/day. c. stopping the medication and checking TSH and T4 in 4 weeks. d. discussing the need for lifetime replacement therapy with the child's parents.