A student nurse is caring for a child several hours after open heart surgery. Which action by the student requires intervention by the registered nurse?
A.
Administers pain medication based on assessment of nonverbal signs of pain
B.
Groups nursing care tasks to allow for uninterrupted periods of rest and sleep
C.
Monitors hourly output from child's indwelling urinary catheter and chest tube
D.
Prepares to administer medication through the central venous pressure line
ANS: D
The central venous pressure line is used to measure right atrial pressure. It is not used for medication administration. The RN should intervene when the student prepares to give medication through this line. The other actions are appropriate.
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