An 11-year-old client is admitted to the healthcare facility with a severe head injury
following a traffic accident. The physician orders the nurse to start the client on STAT
mannitol therapy to prevent cerebral edema.
What measures should the nurse employ
when administering medications with STAT orders?
A) Assess the patient's age and what symptoms have prompted the STAT order
B) Chart the STAT medications before they are given and recheck the vital signs
C) Make sure the order is on the physician's orders and the medication administration
record
D) Enter client's initials next to the order after giving STAT drugs and have the
administration witnessed by two nurses
C
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The nurse is caring for a client who does not speak English, and seeks the services of an interpreter in order to obtain an accurate nursing history. This nurse is demonstrating the use of what element of thought?
1. Interpretation and inference 2. Point of view 3. Purpose of thinking 4. Concepts
After an assessment, the nurse believes that a school-age child is at risk for developing a mental health disorder. Which assessment data will the nurse use to plan the care for this child? (Select all that apply.)
A) Parents recently divorced B) Father unemployed and mother not always home C) Learning to play the clarinet in music class in school D) Expected to care for younger siblings while mother sleeps E) History of multiple injuries obtained from a motor vehicle crash
The nurse is reviewing laboratory results for a 45-year-old woman. Which result would the nurse immediately discuss with the health care provider?
1. Hemoglobin 10.8 g/dL 2. Mean corpuscular volume 89µm3 3. Mean corpuscular hemoglobin 30 pg 4. Total RBC 4,500,000 cells per cubic millimeter
The nurse is conducting a medication history with a patient from the Oneida American Indian heritage. Which remedies would the nurse include as part of this history? Select all that apply
1. Witch hazel
2. Comfrey
3. Skunk oil
4. Dried raspberry leaves