A new nurse is preparing to start an IV on a client who is dehydrated and needs significant fluid volume. The new nurse selects a butterfly needle for the infusion. What action by the supervising nurse is best?
a. Help the new nurse with the procedure as needed.
b. Make sure the new nurse has the correct dressing.
c. Stop the new nurse and review the procedure in private.
d. Get the ultrasonic vein finder to help illuminate veins.
C
Winged (butterfly) needles generally are used for single doses of medications or for blood sampling. They would not be used for large volumes of fluid or kept in for any length of time. The other options do not acknowledge that the new nurse's actions are incorrect and should be stopped.
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The client with a chronic illness asks the nurse what a "living will" is. The nurse's best response explains that this form leaves instructions about:
1. What treatments to omit if one is unable to make these decisions. 2. Who is to make decisions if one is unable to make decisions. 3. Who is to inherit property and belongings after one has died. 4. How the costs of medical care are to be paid after one's death.
The nurse is preparing to administer dopamine. Which is the correct technique for administering dopamine?
a. Orally b. Intravenous (IV) push injection c. Intermittent IV infusions (IV piggyback) d. Continuous IV infusion with an infusion pump
A patient with myasthenia gravis has been on cholinesterase inhibitor therapy. The patient reports on occasion that she has some difficulty swallowing and periods of fatigue
The patient asks, "What can be done to remedy this?" The nurse's best response would be a. "You are already on a high dosage of the drug. You will have to cope with these symptoms." b. "This could mean that the dosage is too high and you should skip every other dose." c. "Let's discuss some strategies to help you learn to self-adjust the dose in response to your symptoms." d. "You are developing tolerance to the drug and will need to change to a different class of agents."
The nurse is caring for a client who is being discharged on dapsone (DDS) for the treatment of leprosy. The nurse educates the client that it is essential to notify a health care provider when which adverse effects occur?
Standard Text: Select all that apply. 1. Nausea 2. Weight gain 3. Nose bleeds 4. Brittle fingernails 5. Yellowing of the skin