When a nurse is selecting a site for IV placement, what is the most appropriate action?
A. Trying the dominant hand first
B. Elevating the extremity
C. Using the most distal part of the vein
D. Locating a vein over a bony prominence
C
Choose a site that will not interfere with activities of daily living or planned procedures. When selecting a site, place the extremity in a dependent position from the heart to increase venous dilation and visibility. Avoid sites that are distal to previous venipunctures, in antecubital fossa, inner wrist, sclerosed, hardened, or bruised.
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The standard method of appraisal used by the facility rates a nurse's performance as satisfactory, but the nurse manager feels the nurse has room for improvement in many areas. What action should be taken by the manager?
1. Ask another staff nurse's opinion of the situation. 2. Address the situation with the chief nursing officer. 3. Submit the appraisal as computed by the standard form. 4. Focus on developing a plan to improve the areas concerned.
A CNA (certified nursing assistant) is discussing the role of bargaining representative. The CNA states, ?Why would they select a nurse to be the representative?? A coworker informs the CNA:
1. ?Administration chose a nurse for this role.? 2. ?Why do you care who is the representative?? 3. ?The representative must be an employee.? 4. ?The representative must be a nurse if the unionized organization is a hospital.?
While assessing a client, the nurse notes that the client communicates through the visual channel. Which of the following did the nurse most likely observe in the client?
a. The client said he feels like he is getting better. b. The client said that the way the physician talked with her was "touching." c. The client asks the nurse to repeat a question because she didn't hear every word. d. The nurse observes that the client looks away from the nurse when discussing a certain subject.
The emergency room nurse is often faced with the responsibility of providing care for people who were responsible for motor vehicle accidents. In some cases, the nurse is caring for that person along with victims of the accident
This situation causes the nurse moral distress. How could the nurse best help to alleviate this distress? 1. Refuse to care for these patients in the future. 2. Be frank with the patients about how uncomfortable the nurse is. 3. Remember to respect the person, not the actions of the person. 4. Ask a co-worker to care for the patients.