Which is the priority nursing assessment for the client with preeclampsia receiving magnesium sulfate experiencing muscle weakness?
A. Oxygen saturation
B. Deep tendon reflexes
C. Peripheral edema
D. Breath sounds
Answer: B
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The client complains of pain, and tells the nurse that the last time he got pain medication, it was dark outside
The nurse checks the medical record and sees that the day shift nurse documented administering an injection of narcotic analgesics twice during the day. The client's wife says she was with him all day and he never received an injection. The nurse's priority action is to: 1. Call the Board of Nursing to notify them of falsification of records. 2. Notify the nursing supervisor immediately of the situation. 3. Call the day shift nurse to ask if the medication was actually given. 4. Complete an incident report.
A nurse needs to instill eye medication in a client with conjunctivitis. Which of the following actions should the nurse take to distribute the medication over the surface of the eye?
A) Gently rub the client's eyelids. B) Make a pouch in the lower eyelid. C) Ask the client to blink his or her eye. D) Instill medication drops in the client's upper eyelid.
When caring for a patient with mild hypothermia, which finding would the nurse expect?
A) Diuresis B) Hypoventilation C) Vasodilation D) Bradycardia
Which of the following strategies might be effective in empowering staff?
a. Communication book in which new information on policies and processes is communicated and mistakes are highlighted. b. Monthly staff meetings during which a portion of the agenda is devoted to sharing ideas and presentations on best practices for implementation on the unit. c. Once-yearly summative evaluations based on what the manager best likes about the individual. d. Focus on discussion of errors in care with direction as to how errors are to be prevented in the future.