The nurse is completing a tool to help coordinate care needed for several clients. What should the nurse identify as a task that must be completed at a specific time for a client?
1. Evaluating the amount of food a client ingested after lunch
2. Providing intravenous medication before a peak blood level is drawn
3. Measuring urine in a collection bag before attending afternoon report
4. Checking the results of laboratory tests before documenting end of shift care
2
Rationale 1: Evaluating the amount of food a client ingested after lunch can occur any time before the trays are removed from the bedside.
Rationale 2:Providing intravenous medication before a peak blood level is drawn would be time dependent.
Rationale 3:Measuring urine in a collection bag can occur any time before attending afternoon report.
Rationale 4:Checking the results of laboratory tests can occur any time before documenting end of shift care.
Global Rationale: Providing intravenous medication before a peak blood level is drawn would be time dependent. Evaluating the amount of food ingested, urine output, and laboratory results can occur at any time.
You might also like to view...
While assessing a patient, the nurse is aware that the body responds to stress. Which of the following is an immediate physiologic response to stress?
A) Vasodilation of peripheral blood vessels B) Increased blood pressure C) Decrease in blood glucose levels D) Pupil constriction
After pelvic measurements, a patient who is 20 weeks pregnant is informed that the diagonal conjugate diameter is narrow. For which component of labor should the nurse plan care to address?
A) Powers B) Passage C) Passenger D) Psychological outlook
The nurse is participating in the clinical trial of a new medication for the treatment of hypertension
To assess the effectiveness of the medication, which interventions would the nurse perform to help determine whether the average dose is effective for the patient? 1. Monitoring blood pressure 2. Monitoring heart rate 3. Interpreting laboratory values 4. Monitoring diet 5. Monitoring sleep habits
The damage of a Stage I pressure ulcer is much greater ____________________ the skin surface.
Fill in the blank(s) with the appropriate word(s).