A pregnant patient has been receiving an infusion of oxytocin for the past several hours
For the past 20 minutes, the patient's contractions have been lasting in excess of 2 to 3 minutes each and there is less than 1 minute between most contractions. As well, there have been significant decelerations in fetal heart rate. The nurse has recognized the clinical characteristics of tachysystole and informed the physician, seeking an order to discontinue the oxytocin. The physician, however, wants to persist with the oxytocin infusion because the patient is "making good progress". How should the nurse best respond?
A) Go up the hospital chain of command to obtain assistance
B) Document carefully and monitor the patient more closely
C) Defer to the physician's base of greater knowledge and experience
D) Explain the professional difference of opinion to the patient and her partner
A
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The parent of a 16-year-old asks for a prescription for isotretinoin for the child's acne. What is the nurse's best response?
a. Isotretinoin is a very effective first-line therapy for acne. b. Isotretinoin is completely safe as long as the patient is not a girl who could become pregnant. c. Isotretinoin has serious adverse effects and is reserved for severe acne that is unresponsive to other therapies. d. Isotretinoin is reserved for adult patients with acne because of the side effect profile.
The client's lab studies reveal a normal serum albumin with a prealbumin of 10. How does the nurse interpret the significance of these readings?
A) The client has had recent protein malnutrition. B) The client is now relatively well nourished, with malnutrition 6–8 months ago. C) Carbohydrate malnutrition has occurred over the last 6 months. D) The client is at risk for development of malabsorption syndromes.
The parents of a preschooler express concern to the nurse about their son's new habit of masturbating. What is an appropriate response to this concern?
A) Tell the child in a firm manner that this behavior is not acceptable. B) When the child displays this behavior, place him in a 'time-out.' C) Treat the action in a matter-of-fact manner emphasizing safety. D) Consult a psychotherapist to determine the reason for this behavior.
A basic assumption of the SLII® is that employees' skills and motivation vary over time. Do you agree? Can you think of any exceptions? Does the SLII® fit all work situations equally well?
What will be an ideal response?