The LVN/LPN is told by the RN to discontinue an IV line to the patient. The best nursing action is to:
a. check the physicians order.
b. stop the IV flow by clamping the tubing securely.
c. wash hands and don gloves.
d. quickly withdraw the cannula and apply pressure.
a. check the physicians order.
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Which is a responsibility of the unit manager in fiscal planning?
A) To shelter staff from feeling a responsibility for achieving budgetary planning goals B) To monitor and evaluate all aspects of the unit's budget control C) To streamline the number of subordinates involved in the budgetary process D) To control unpredictable census variations that may undermine the personnel budget
A client with dysfunctional labor patterns has a nursing diagnosis of "Acute pain maternal, related to uterine irritability and prolonged labor." Which of the following would the nurse use as evidence to support this diagnosis?
a. Non-reassuring fetal tracing inclusive of severe variable decelerations; late decelerations b. Maternal fever of 100.4°F or 38°C, maternal tachycardia, fetal tachycardia, or a combination of these c. Client questions and an inability to cooperate with requested interventions d. Frequent or persistent maternal requests for pain relief, frequent uterine contractions, poor uterine resting tone, and failure of the cervix to dilate 1 to 2 cm per hour on cervical assessment
The nurse is working with a client whose mobility is impaired secondary to a fall that resulted in a broken hip. In addition, the client, who has diabetes, is developing problems with her vision and hearing
The client seems increasingly withdrawn and depressed. The nurse determines that the client is at risk for spiritual distress. Which of the following interventions would be most appropriate for the nurse to make at this time? A) Encourage the client to talk about significant childhood religious experiences B) Offer to take the client to a revival the nurse's church is holding in the community C) Read Bible passages to the client that seem particularly relevant to the client's case D) Explore what the mobility, sight, and hearing changes mean to the client
A patient states that he has been treated for sleep apnea over the past year. You document this and note in the care plan that nurses should be aware of which of the following signs or symptoms?
A) Loud snoring or gasping while asleep B) Calling out and moving excessively while asleep C) Evidence of teeth grinding while asleep D) Feeling agitated during the day