The nurse is caring for several clients who have student nurses assigned to their care. The licensed nurse understands that omission of ordered medication commonly occurs in the following situations: Standard Text: Select all that apply
1. Nonstandard dosage times
2. Lack of accurate, prompt documentation
3. Packaging of medications
4. Preparing drugs for multiple clients
5. Changes in laboratory values
1,2
Rationale: Many omissions occur when a medication is to be administered at an unusual time, such as early in the morning.
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A pregnant woman in her third trimester is in the ICU for minor trauma to her right arm and leg as a result of a car wreck
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A client who has had a radical neck dissection is being prepared for discharge
The discharge plan includes referral to an outpatient rehabilitation center for physical therapy. What would the goals of physical therapy for this client include? A) Promoting circulation to the graft site on the affected side B) Relieving nerve paralysis in the cervical plexus C) Promoting maximum shoulder function D) Alleviating achalasia decreasing esophageal peristalsis
A postoperative laryngectomy and radical neck dissection client has a nursing diagnosis of Impaired Verbal Communication. Which of the following interventions should be included in the care plan?
A) Provide uninterrupted time for the client to attempt communication with the nurse and health care team. B) Instruct the client to speak softly when talking. C) Teach the client to read lips. D) Provide the client with a pen and paper for writing.
You are assisting in the care of an infant that has not had a wet diaper for 6 hours. Is this acceptable? What should you do?
What will be an ideal response?