The nurse reviewing charts for quality improvement notes that a client experienced a complication during labor. The nurse is uncertain whether the labor nurse took the appropriate action during the situation

What is the best method for the nurse to take to determine what the appropriate action should have been? 1. Call the nurse manager of the labor and delivery unit and ask what the nurse should have done.
2. Ask the departmental chair of the obstetrical physicians what the best nursing action should have been.
3. Examine other charts to find cases of the same complication, and determine how it was handled in those situations.
4. Look in the policy and procedure book, and examine the practice guidelines published by a professional nursing organization.


4
Explanation: 4. Agency policies, procedures, and protocols contain guidelines for nursing action in specific situations. Professional organizations such as the Association of Women's Health, Obstetrical, and Neonatal Nurses (AWHONN) also publish standards of practice that should guide nursing care.

Nursing

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A 19-year-old patient begins to cry when she learns that she has genital herpes. The patient tearfully asks about the treatment. The nurse explains that treatment includes a drug that sup-presses transmission, which is

a. valacyclovir (Valtrex). b. acyclovir (Zovirax). c. famciclovir (Famvir). d. tobramycin (Nebcin).

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A child's parents ask the nurse many questions about their child's illness and its management. The nurse does not know enough to answer all the questions. What nursing action is most appropriate at this time?

a. Tell them, "I don't know, but I will find out." b. Suggest that they ask the physician these questions. c. Explain that the nurse cannot be expected to know everything. d. Answer questions vaguely so they do not lose confidence in the nurse.

Nursing

The nurse is teaching a group of family members who have relatives living with them who are experiencing neurotransmitter difficulties. What information should the nurse include about the role of transmitters?

1. Neurotransmitters carry or block messages between nerves. 2. Neurotransmitters are fluids that protect the brain. 3. Neurotransmitters enter the bloodstream. 4. Neurotransmitters act once and are then absorbed and excreted.

Nursing

A type of fat found primarily in the subscapular, axillary, adrenal, and mediastinal regions of the newborn is which of the following?

a. pure fat c. brown fat b. triglycerides d. glycerol

Nursing