The nurse needs to obtain a sputum specimen for culture and sensitivity from a patient. When should the nurse obtain this specimen?
1. Before the first dose of antibiotics is administered
2. Immediately after the first dose of antibiotic is administered
3. 30 minutes after the first dose of antibiotics is administered
4. As the first dose of antibiotics is administered
1
Rationale 1: When collecting a specimen for culture and sensitivity, the nurse should collect the specimen before the first dose of antibiotics is administered to ensure adequate organisms for culture.
Rationale 2: If the specimen were collected after the first dose of the antibiotic, there might not be sufficient microorganisms available for culture.
Rationale 3: If the specimen were collected after the first dose of the antibiotic, there might not be sufficient microorganisms available for culture.
Rationale 4: It would not be appropriate to obtain the first specimen as the first dose of antibiotics is being administered.
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You are the evening charge nurse responsible for initiating overtime approval on employees' timecards. One of the nurses comes to you and says, "I did not receive overtime pay when I went in the ambulance to transport Mr
Jones last week, and it is my understanding that our union contract states we get overtime even though the overtime just involved the travel back to the hospital after delivering the patient. Will you please follow up and see that I get the overtime on my next check?" What is this an example of? A) Collective bargaining activity appropriate for a first-level manager B) A problem employee griping C) A formal grievance D) A problem that needs to be reported to the director of nurses immediately
A patient tells the nurse that she does not want to pass on a genetic disorder to any future children. What is the nurse's most accurate response?
1. "A complete genetic study could help guide you in your decision making.". 2. "I suppose, then, that you are not going to have any children.". 3. "Adoption is always a possibility.". 4. "Just because the disease is genetic doesn't mean your children will inherit it.".
While conducting an abdominal assessment, the nurse notes dullness on percussion when the patient turns from the supine position to the right side. How should the nurse interpret this finding?
1. The patient is exhibiting normal findings. 2. The patient is exhibiting signs consistent with ascites. 3. The patient is exhibiting signs consistent with a bowel obstruction. 4. The patient is exhibiting signs consistent with hepatomegaly.
Claire's daughter brings her in today after Claire fell at her home. Which assessments are indicated at this time?
A) Orthostatic vital signs B) Review of her medications C) Assessment of gait and balance D) All of the above