Which of the following is true about clinical nurse specialists and nurse practitioners?
1. They often work in similar settings.
2. They have identical educational preparation.
3. Debate on similarities has settled the similarities and differences.
4. The clinical nurse specialist role always involves prescriptive practice.
ANS: 1
Clinical nurse specialists and nurse practitioners often work in similar settings.
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When the LPN/LVN determines that a physician ordered medication is inappropriate, which of the following actions is appropriate?(Select all that apply) Standard Text: Select all that apply
1. Contact the prescriber 2. Discuss the order with another LPN/LVN 3. Document in the notes notification of the provider, as well as the provider's response 4. If the prescriber cannot be reached, administer the medication 5. Ask another nurse to administer the medication
Which statement made by a client's spouse indicates the need for more teaching about prevention of a pulmonary embolism at home after major abdominal surgery?
A. "While he is awake, I will make sure he gets up and walks for at least 5 minutes every 2 hours." B. "He is prone to constipation, so I will increase the amount of fiber in his meals every day." C. "I will massage his feet and legs twice a day to help blood return." D. "I will check his breathing rate and level twice a day."
The physician has prescribed quetiapine (Seroquel) for the patient with chronic auditory hallucinations. The patient has stopped taking the medication. The nurse incorrectly uses the diagnosis of "noncompliance."
What is essential for the nurse to assess prior to using this nursing diagnosis? 1. Do cultural or religious issues have an impact on taking the medication? 2. Has the patient made an informed decision not to take the medication? 3. Is the noncompliance related to a lack of finances? 4. Did the patient understand why the medication had been prescribed? 5. Are side effects causing the patient to refuse the medication?
Before patients go to sleep at night, the nursing assistant can take measures to promote patient comfort and relaxation. Which of the following is within the nursing assistant's scope of practice?
A. Offer snacks and warm milk to all patients, no matter their therapeutic diet. B. Provide a gentle back rub. C. Ask patients if they want a sleeping pill. D. Put all patients in Sims' position, to help with relaxation.