Which statement by the nurse manager demonstrates an assertive approach?
1) "You must assess and document pain status for every patient."
2) "Why haven't you been assessing and documenting pain for every patient?"
3) "Will you please assess and document pain status for every patient?"
4) "Explain why you haven't been assessing and documenting pain for every patient."
ANS: 1
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A patient is experiencing respiratory insufficiency and cannot maintain spontaneous respirations. The nurse suspects that the health care provider will implement which of the following interventions?
A) Administration of bronchodilators B) Jaw thrust maneuver C) Endotracheal intubation D) Cricothyroidotomy
The patient's Wells score indicates intermediate risk for the development of pulmonary embolism. Which nursing interventions would help reduce this risk?
1. Monitor daily D-dimer levels. 2. Strictly measure all intake and output. 3. Encourage ambulation. 4. Instruct the patient on use of antiembolism stockings. 5. Prevention of leg injury
The nurse administers a narcotic by intramuscular injection for postoperative pain. How much time does the nurse use to estimate the expected time of pain relief for the client?
1. 5 minutes 2. 15 minutes 3. 30 minutes 4. 60 minutes
The nurse is aware that the drug that will most likely be used in the treatment of warfarin sodium overdose is
1. aspirin. 2. heparin. 3. vitamin K. 4. protamine sulfate.