A clinic nurse has observed another nurse deviating from agency policy in performing wound care. The best approach for the clinic nurse to take is to:
a. Stay out of it.
b. Inform the nursing supervisor.
c. Fill out a notification form (incident re-port).
d. Assess the risk to the client and the agen-cy before proceeding.
D
If the situation is subjective, non-routine, and unstructured or if outcomes are unknown or un-predictable, the nurse leader and manager may need to take a descriptive or behavioral approach. More information (such as degree of risk to the client and to the agency) needs to be gathered to address this situation effectively.
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The school nurse and teacher are working on a plan to improve the behavior and learning of a child recently diagnosed with attention deficit/hyperactivity disorder (ADHD)
Which activities will the nurse suggest be included in the plan? Standard Text: Select all that apply. 1. Asking the mother to seek a prescription for methylphenidate (Ritalin) for the child 2. Placing the child's desk at the back of the room to reduce distractions 3. Developing a consistent routine for the classroom 4. Limiting the decorations in the classroom 5. Determining areas where the child performs well and using these areas to promote self-esteem
When a patient is receiving diuretic therapy, which of these assessment measures would best reflect the patient's fluid volume status?
a. Blood pressure and pulse b. Serum potassium and sodium levels c. Intake, output, and daily weight d. Measurements of abdominal girth and calf circumference
A new nurse mentions, "I can understand a situational crisis upsetting a person's equilib-rium, but I don't understand how something positive, like getting married or having a baby, can precipitate a crisis."
To explain, the mentor should answer, "You need to think of a crisis as a(n): a. Threat to survival." b. Threat to the familiar." c. Opportunity to learn." d. Psychiatric disorder."
An increased concentration of alpha fetoprotein in maternal blood or amnionic fluid suggests that the fetus has Down syndrome
Indicate whether the statement is true or false