Nurses are legally required to document medications administered to patients. The nurse is mandated to document which of the following?
a. Medication after administration
b. Medication before administration
c. Rationale for giving a questionable incor-rect dosage
d. Concerns about giving the medication
A
Record the administration of each medication on the MAR immediately after administration. Never document that you have given a medication until you have actually given it. If you ever have questions about a medication order, contact the health care provider immediately to verify the order before giving your patient the medication.
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The glabellar reflex is characterized by
a. puckering of the lips. b. a hyperactive blinking response. c. a chewing, sucking, or swallowing response. d. flexion of the fingers.
The nurse is caring for a 154-pound patient with 50 percent total body surface area burns
If using the Parkland formula, the nurse will calculate which of the following amounts of intravenous solution to provide this patient in the first 24 hours of care? 1. 42,000 cc 2. 14,000 cc 3. 7,000 cc 4. 3,500 cc
In the ____________________, Orem's describes internal and external conditions arising from or associated with heath states of individuals that may bring about action limitations to engage in care of self
A. Self-care theory B. Self-care limitation theory C. Self-care agency theory D. Self-care deficit theory
An adolescent gets hit in the eye during a fight. The school nurse, using a flashlight, notes the presence of gross hyphema (hemorrhage into anterior chamber). The nurse should:
a. apply a Fox shield. b. instruct the adolescent to apply ice for 24 hours. c. have adolescent rest with eye closed and ice applied. d. notify parents that adolescent needs to see an ophthalmologist.