A general nursing action to help minimize a patient's psychological stress is:
A) Give detailed explanations of the plan of care.
B) Inform the client that you are in charge of the situation and that there is no need to worry.
C) Learn what is important and of concern to the patient.
D) Discourage the patient from discussing unpleasant topics in order to decrease stress.
C
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A nurse cares for a client who is recovering from laparoscopic cholecystectomy surgery. The client reports pain in the shoulder blades. How should the nurse respond?
a. "Ambulating in the hallway twice a day will help." b. "I will apply a cold compress to the painful area on your back." c. "Drinking a warm beverage can relieve this referred pain." d. "You should cough and deep breathe every hour."
The nurse appropriately delegates care to the UAP when she:
a. instructs the UAP to assess the patient's skin during a bath. b. instructs the UAP to reposition the patient using the trapeze. c. instructs the UAP to assess the patient's ability to perform range-of-motion exercises. d. instructs the UAP to notify the health care provider of any changes.
A medication error occurred and the nurse is preparing to complete an incident report. Which information is required to thoroughly complete this report? Select all that apply
A) Name of client involved in the incident B) Location where completion of an incident report is located in the medical record C) Date and time of the incident D) Medication involved in the incident E) Number of hours the nurse was at work before the incident occurred
The physician prescribes warfarin 5 mg orally at 1800 for a patient who underwent open reduction and internal fixation of his right hip
After administering the medication, the nurse realizes that she administered a 10 mg tablet instead of the prescribed 5 mg PO. Which of the following actions by the nurse is appropriate? 1) No action is necessary because an extra 5 mg of warfarin is not harmful. 2) Call the prescriber and ask her to change the order to 10 mg. 3) Document on the chart that the drug was given and indicate the drug was given in error. 4) Complete an incident report according to the facility's policy.