In which situation can a nurse leave a medication at the client's bedside to be taken later?
a. when an alert, cooperative client is talking on the telephone
b. when the client is away from the unit for an X-ray
c. when the client is busy having a bed bath as the nurse makes rounds
d. never
D
Guidelines used by nurses for safe administration of medications include administering only medications that have been personally prepared (i.e., not medications prepared by another nurse); listening to questions a client may raise about a medication (e.g., "This pill is a different color,") and rechecking the order and the dosage prepared; indicating on the client's MAR and medical record the reason for not administering any medication; seeing that the client actually takes the medication; not leaving any medications at the client's bedside unless specifically permitted by order of a health care provider; and instructing the client to take only those medications prescribed for him or her and not to offer the medications to others.
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There are four generations in nursing that are seen in the healthcare environment. In a study by Lavoie-Tremblay et al. (2008), which generation tends to leave the profession due to exposure to difficult nursing work environments?
a. Traditional c. Generation X b. Baby boomers d. Generation Y
A client displaying acute mania has driven staff to the end of their tolerance by noon. The client has
joked, manipulated, insulted, and fought his way through the morning. Staff are feeling defensive and exhausted. The best action to take is to a. call the physician to come to the unit to evaluate the client and write a seclusion order. b. seclude the client, then call the physician to come to the unit to write a seclusion order. c. hold a staff meeting to discuss staff consistency and limit-setting approaches. d. explain to the client that his behavior is unacceptable and seek his cooperation.
A(n) _______ occurs when one medication modifies the action of another medication
a. medication allergy b. anaphylactic reaction c. medication interaction d. idiosyncratic reaction
Touch is one of the most important communicative behaviors that nurses use; however, nurses must keep in mind which of the following facts before using touch?
a. Everyone likes to be touched, but most prefer a light touch on the upper body. b. Touch can have many different meanings to different children and their families. c. Touch needs to be used very sparingly and only then necessary and asked for. d. The opposite gender almost always interprets touch as having a sexual meaning.