The charge nurse completes a plan of assistance for a staff member and asks him to sign it. What does the employee's signature on the plan represent?
A) The employee agrees with the plan.
B) The employee agrees to legal recourse to resolve the problem.
C) The employee agrees to counseling.
D) The employee has received the information.
D
Feedback:
The employee's signature does not imply agreement, but simply acknowledges receipt of the information.
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The nurse is assessing the patient's crutches. The nurse recognizes that correctly sized crutches are:
a. the same height as the patient's shoulders. b. approximately 12 inches shorter than the patient's shoulders. c. approximately 16 inches shorter than the patient's height. d. tall enough to allow the patient's arms to be fully extended when walking.
When a client suffers a tonic-clonic seizure, the nurse should (Select all that apply)
a. insert an oral airway into the client's mouth. b. move objects out of the client's way. c. observe and document characteristics of the seizure. d. place a pillow or some padding under the client's head. e. turn the client gently on one side.
The nurse needs to collect a specimen from a client; however, the nurse has never collected this type of specimen in the past. What should the nurse do?
1. Notify the physician. 2. Ask another nurse to collect the specimen. 3. Consult the nursing procedure manual. 4. Delegate the collection of the specimen to unlicensed assistive personnel.
The nurse is working hard to prevent medication errors. Which intervention would assist the nurse in preventing most errors using the assessment step of the nursing process?
1. Be aware of stressful situations and distractions during medication administration. 2. Assess the client for expected outcomes and determine if any adverse side effects have occurred. 3. Ask the client about food or medication allergies, including OTC medications and herbal supplements. 4. Avoid using abbreviations that could be misunderstood.