How would you position a child for rectal drug administration?
a. Lying in the lateral recumbent position with legs flexed
b. Lying on the back with knees flexed
c. Lying prone
d. Lying supine
Answer: a. Lying in the lateral recumbent position with legs flexed
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An employer has questioned a client about genetic illnesses. When the client refused to provide this information, the employer said, "I don't know why you are so upset. It is public information anyway
" Which questions would the nurse ask? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. "Has your genetic information been identified in a study reported in the newspaper?" 2. "Were your medical records discovered in a court case?" 3. "Did you give permission for your genetic information to be identified in a research publication?" 4. "Does your employer have access to a medical database?" 5. "Was your genetic information part of a televised documentary?"
Which of the following indicates safe delegation?
a. The nurse supervisor for a large urban acute care department asks the unit manager to accept two new acutely ill patients, which the manager does. The unit is short two staff, and the replacement is inexperienced. b. A unit manager agrees to release a staff from her unit to Unit B. The staff member she agrees to release is experienced on Unit B and is agreeable to the change. The unit manager's unit is fully staffed and patients are stable. c. The nurse supervisor asks the head nurse for Unit A to make do without a replacement for an ill staff member because Unit A was originally overstaffed anyway. Patient acuity levels are very high on Unit A and two staff are orientating. d. The nurse supervisor asks the charge nurse on Unit B to cover Unit F, which is two floors up, because the charge nurse for Unit F is ill. The charge nurse for Unit B is an experienced manager but has no experience with the nursing care required on Unit F. ANS: B When span of control (number of individuals for whom a manager is responsible) is compromised by geographic factors such as lack of proximity, instability in patients' conditions, or lack of experience, the span of control that is being delegated may lead to unsafe care.
The maternal-child nurse stresses to the recently graduated nurse that primary care focuses on which aspect? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply
1. Health promotion 2. Illness prevention 3. Hospital care 4. Skilled nursing care 5. Curing disease
A client was hospitalized for 1 week with major depression with suicidal ideation. He is taking venlafaxine (Effexor), 75 mg three times a day, and is planning to return to work. The nurse asks the client if he is experiencing thoughts of self-harm. The client responds, "I hardly think about it anymore and wouldn't do anything to hurt myself." The nurse should make which judgment about the client?
a) The client is decompensating and in need of being readmitted to the hospital. b) The client needs an adjustment or increase in his dose of antidepressant. c) The depression is improving and the suicidal ideation is lessening. d) The presence of suicidal ideation warrants a telephone call to the client's primary care provider.