The nurse left a client a telephone answering machine message with his laboratory results so that he could listen at his convenience. Upon hearing that this happened, which of the following would be the most likely action taken by the nurse's supervisor?
a. Explaining to the nurse that it is the client's responsibility to get in touch with the clinic office
b. Applauding the nurse's actions for showing good use of technology
c. Asking other nurses to follow this example as it made very efficient use of agency time
d. Instructing the nurse to leave a name and phone number for the client to return the call
ANS: D
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The normal rate for the SA node when the patient is at rest is:
a. 40 to 60 beats per minute. b. 60 to 100 beats per minute. c. 20 to 40 beats per minute. d. more than100 beats per minute.
Nausea, vomiting, and an irregular heart rate develop in a patient who takes oral digoxin every morning. What is your best action?
a. Give prescribed promethazine (Phenergan) as needed. b. Check the patient's cardiac monitor strip. c. Assess the apical pulse for a full minute. d. Check laboratory results for a digoxin level.
When using the ABC system of managing time, those items coded A include:
a. calling the pharmacy to see whether a drug insert is available for a patient. b. checking to see why a ventilator is alarming. c. organizing the medication cart. d. writing memos to remind everyone to contribute to the boss's birthday gift.
A patient who had recent abdominal surgery is becoming increasingly agitated and confused. He has pulled out his IV and his nasogastric tube. His skin is pale and clammy, heart rate 120 bpm, BP 130/60. The physician has been called. What nursing action is
a. Gather needed supplies and assign the aide to remain with the patient. b. Stay with the patient and have another nurse obtain needed supplies. c. Administer pain medication and then recheck vital signs. d. Assign the aide to retake vital signs every 15 minutes.