The nurse believes that a physician's order written at the end of a shift is contrary to the accepted standard of care and could potentially harm the patient. What should the nurse do?
1. Ask the nurse manager what to do.
2. #the physician regarding the order.
3. Let the next shift make the decision regarding implementation of the order.
4. Complete the order as directed.
2
Rationale: The nurse should not have to rely on the nurse manager for direction in this situation. The nurse might inform the manager of the situation and the intended action, but would not need to ask for permission or direction.
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A patient will soon begin targeted therapy as a component of her treatment plan for chronic leukemia
The nurse is conducting health education about this new aspect of the patient's drug regimen and the patient has asked about the potential side effects of treatment. How should the nurse best respond? A) "Chemotherapy causes a lot of unpleasant side effects, and the advantage of targeted therapies is that these are all avoided." B) "Targeted therapies are often more effective than traditional chemotherapy, but the downside of this effectiveness is that adverse effects are more common and severe." C) "The adverse effects to targeted therapies are most often a result of the patient's cancer, not the drugs themselves." D) "Both classes of drugs have adverse effects, but targeted therapies tend to have less of an effect on healthy body cells."
The client has been diagnosed with syphilis. The infective process for this client is known to be greater than 1 year
Because of the type and length of the infectious process, the nurse anticipates that the type of drug to administer and the time of administration will be: a. spectinomycin IM once in the early stage of the disease. b. doxycycline IM once weekly for 3 weeks. c. probenecid IM once in the early stage of the disease. d. benzathine penicillin G IM once weekly for 3 weeks.
Select a correct statement about the uricosuric drug probenecid.
A. Probenecid increases renal excretion, thereby decreasing plasma concentrations of hypoglycemic agents. B. The correct adult dose of probenecid is 100-200 mg BID. C. Probenecid causes GI disturbances, so it is recommended that it be taken with milk, meals, or antacids. D. None of the above are correct.
A 57-year-old male client is scheduled to have a stress-thallium test the following morning and is NPO after midnight. At 0130, he is agitated because he cannot eat and is demanding food. Which response is best for the nurse to provide to this client?
A) I'm sorry sir, you have a prescription for nothing by mouth from midnight tonight. B) I will let you have one cracker, but that is all you can have for the rest of tonight. C) What did the healthcare provider tell you about the test you are having tomorrow? D) The test you are having tomorrow requires that you have nothing by mouth tonight.