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Terms in this set (94)
Which of the following events When a visitor suddenly becomes weak and dizzy, the nurse
would require a nurse to checks the visitor's blood pressure and takes the visitor to
complete and file an incident the emergency department for treatment.
report?
Telling the health care provider that the error warrants the
completion of an incident report.
A nurse, charting the
administration of
medications to an assigned
client at 9 pm, notes that
atenolol (Tenormin) was
prescribed to be
administered at 9 am instead
of 9 pm. The nurse checks
the client's vital signs,
completes an incident report,
and calls the physician to
report the error. The
physician tells the nurse that
an incident report is not
needed but instructs her to
monitor the client during the
night for hypotension. What
action should the nurse take?
,Contact precautions are To wear gloves and a gown when changing the client's bed
initiated for a client with linen.
methicillin-resistant
Staphylococcus aureus
(MRSA) infection. The nurse,
providing instructions to a
nursing assistant about
caring for the client, tells the
assistant:
The mother of a 3-yearold Call a poison control center.
calls a neighbor who is a
nurse and reports that her
child just drank some
window cleaner that had
been stored in a cabinet. The
nurse should instruct the
mother to immediately:
Activating the agency disaster plan.
A hurricane is forecast to
make landfall in 48 hours,
and the staff of the
emergency department of an
area hospital is advised to
prepare for causalities.
Which action should the
nurse manager who receives
the telephone call regarding
this warning take first?
,A home health nurse has -I need to follow the oxygen prescription exactly." -I have to
instructed a client about keep the oxygen concentrator out of direct sunlight.
safety measures during the
-I have to tell everyone that they can't smoke or have an
use of an oxygen
open flame within 10 feet of the oxygen concentrator
concentrator in the home.
Which statement by the
client indicates to the nurse
that the client has
understood the directions?
A nurse is providing Every 2 hours.
instructions to a nursing
assistant who will be caring
for a client in hand restraints.
The nurse instructs the
nursing assistant to release
the restraints to permit
muscle exercise:
Determining the appropriateness of the planned health
activity.
A community health nurse
working in a school setting is
concerned because parents
are not participating in health
activities designed to
promote child safety. In this
situation, the most
appropriate initial action is:
, The nurse administers a dose Ramipril (Altace) 2.5 mg was administered at 9 am.
of ramipril (Altace) 2.5 mg to
a client at 9 am. While
documenting administration
of the medication, the nurse
discovers that 1.25 mg, not
2.5 mg, was the prescribed
dose. The nurse assesses the
client, completes an incident
report, and notifies the
physician and nursing
supervisor of the error. What
statement does the nurse
add to the client's record?
The caregiver leaves both side rails down while the client is in
bed.
A home health nurse has
been called to the home of
an older postoperative
cardiovascular client by the
client's son. The son tells the
nurse, "We're using a
hospital bed here at home,
but my mother has fallen out
of bed three times." Which
observation by the nurse
reflects an increased risk of
this client's falling out of
bed?