A patient is complaining of being unable to get to sleep. There is a PRN order for temazepam. What should the nurse do? Select all that apply
1. Check the PRN protocol.
2. Assess the patient's need.
3. Assess the patient's safety.
4. Review the patient's diagnosis.
5. Explore the patient's expectations.
Answer: 1, 2, 3
Explanation: The PRN order should specify the signs and symptoms, maximum daily dosage, and any specific instructions. The nurse should check the order and assess the patient's need and safety before administering any PRN medication. Although discussing expectations with the patient may be helpful, this is not a necessary part of PRN administration. Reviewing the patient's diagnosis is not part of the PRN protocol.
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The nurse is assessing a patient who is severely bleeding and at risk for hypovolemic shock. What can the nurse anticipate?
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