PNLE I for Foundation of Professional Nursing Practice Questions and Answers 100% Verified

The nurse In-charge in labor and delivery unit administered a dose of terbutaline to a client without checking the client's pulse. The standard that would be used to determine if the nurse was negligent is: A. The physician's orders. B. The action of a clinical nurse specialist who is recognized expert in the field. C. The statement in the drug literature about administration of terbutaline. D. The actions of a reasonably prudent nurse with similar education and experience. - >>Answer: (D) The actions of a reasonably prudent nurse with similar education and experience. The standard of care is determined by the average degree of skill, care, and diligence by nurses in similar circumstances. Nurse Trish is caring for a female client with a history of GI bleeding, sickle cell disease, and a platelet count of 22,000/μl. The female client is dehydrated and receiving dextrose 5% in half-normal saline solution at 150 ml/hr. The client complains of severe bone pain and is scheduled to receive a dose of morphine sulfate. In administering the medication, Nurse Trish should avoid which route? A. I.V B. I.M C. Oral D. S.C - >>Answer: (B) I.M. With a platelet count of 22,000/μl, the clients tends to bleed easily. Therefore, the nurse should avoid using the I.M. route because the area is a highly vascular and can bleed readily when penetrated by a needle. The bleeding can be difficult to stop.