The nurse needs to administer a rectal suppository to a patient to treat constipation. Which action may the nurse delegate to the nursing assistive personnel (NAP)?
a. Inserting the suppository into patient's rectum
b. Notifying the patient's healthcare provider of the suppository results
c. Documenting the administration of a suppository after insertion
d. Informing the nurse of the bowel move-ment
D
The nurse instructs the NAP to report the results of the suppository, which in this case would be the expulsion of feces. Administration of medication is the nurse's responsibility. The healthcare provider will learn the results of the suppository by reading the nurse's documentation or when making rounds unless other instructions were given. Documentation of the medication adminis-tration is the nurse's responsibility.
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A patient with a hordeolum (sty) asks what caused the disorder. What is the nurse's best response?
1. "This may be due to the dandruff on your scalp and eyebrows." 2. "This is possibly a side-effect of a medication you are taking." 3. "It is a result of eversion of the eyelid and associated with the aging process." 4. "It may be due to squinting when you are in the sun and not wearing sunglasses."
The nurse explaining the procedure and purpose of a test for group B streptococcal infection to the pregnant woman on her first prenatal visit states:
A) "This test will be performed 3-5 weeks before your expected due date by performing a vaginal swab." B) "This test will be performed several times throughout your pregnancy by drawing a small amount of blood." C) "This is a vaginal swab performed at your initial prenatal visit, again midway through your pregnancy, and one last time when you begin labor." D) "This test will be performed today, and then again prior to delivery, by drawing a small amount of blood."
A nurse is dressing the wound of a client with a pressure ulcer. Which demonstrates
concern for this client? A) Explaining the procedure for dressing the wound B) Informing the client of actions to be taken C) Telling the client that he or she will recover soon D) Indicating to the client an understanding of the client's discomfort
Which of the following would be a priority for the nurse when caring for a pregnant woman who has recently emigrated from another country?
a. Help her develop a realistic, detailed birth plan.b. Identify her support system.c. Teach her about expected emotional changes of pregnancy.d. Refer her to a doula for labor support.