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A nurse in an emergency department is preparing change-of-shift
report for an adult client who is transferring to a medical-surgical
unit using the SBAR communication tool. Which of the following
information should the nurse include in the report? (Select all that
apply.)
The client has a do-not-resuscitate order.
The client has a continuous IV of lactated Ringer's.
The client was straight catheterized for 350 mL 2 hr ago.
The client has Medicare insurance.
The client lives in a one-story home. -
correct answer ✅The client has a do-not-resuscitate order is
correct. The nurse should include the client's current prescriptions,
including code status, in a change-of-shift report. The client has a
continuous IV of lactated Ringer's is correct. The type of IV solution
being administered is an element of the "Background" portion of
the SBAR tool. The nurse should provide a summary of any
medications or treatments the client has received to date, which
will prevent medication errors and promote client safety.The client
was straight catheterized for 350 mL 2 hr ago is correct. The
amount of urine output is an element of the "Background" portion
of the SBAR tool. Other pertinent elements of this category are vital
signs, pain rating, and any change from previous assessments.The
client has Medicare insurance is incorrect. This information is not
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relevant to the client's clinical care and is not an element of the
SBAR communication tool.The client lives in a one-story home is
incorrect. This information is not relevant to the client's clinical care
and is not an element of the SBAR communication tool.
An occupational health nurse in a factory is planning interventions
to reduce environmental stressors for employees. Which of the
following interventions should the nurse use to affect physical
agents in the environment? (Select all that apply.)
Teach workers to choose personal strategies to cope with work
stress.
Limit the amount of time workers spend in temperatures over 43.3°
C (110° F).
Provide ear plugs for use at workstations throughout the factory.
Obtain dosimeters for employees to wear when using new
machinery that emits radiation.
Require more frequent disinfection of work surfaces during
influenza season. -
correct answer ✅Teach workers to choose personal strategies to
cope with work stress is incorrect. The nurse should identify the use
of personal coping mechanisms as an intervention to reduce
psychosocial stressors. Psychosocial agents are internal factors for
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the employee.Limit the amount of time workers spend in
temperatures over 43.3° C (110° F) is correct. The nurse should
identify environmental temperature as a physical stressor. Reducing
the amount of time employees spend in high temperatures can
help to reduce the risk for heat exhaustion and heat stroke. Provide
ear plugs for use at workstations throughout the factory is correct.
The nurse should identify environmental noise as a physical
stressor. Providing ear plugs can prevent damage to internal ear
structures and subsequent hearing loss. Obtain dosimeters for
employees to wear when using new machinery that emits radiation
is correct. The nurse should identify environmental radiation as a
physical stressor. Obtaining dosimeters will help monitor each
employee's amount of radiation exposure to prevent overexposure.
Require more frequent disinfection of work surfaces during
influenza season is incorrect. The nurse should identify the
influenza virus, and other pathogens, as biological agents in the
environment. Requiring more frequent cleaning can prevent
employees from being exposed to strains of the influenza virus and
minimize the risk of infection.
A newly licensed nurse tells a charge nurse that he is unsure about
accepting telephone medication prescriptions. Which of the
following providers should the charge nurse identify as having the
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legal ability to give telephone medication prescriptions? (Select all
that apply.)
Anesthesiologists
Physician assistants
Hospital pharmacists
Mental health technicians
Nurse practitioners -
correct answer ✅Anesthesiologists is correct. Anesthesiologists
are licensed practitioners who have prescriptive authority and can
convey verbal medication prescriptions in person and over the
telephone.Physician assistants is correct. Physician assistants have
prescriptive authority and can convey verbal medication
prescriptions in person and over the telephone.Hospital
pharmacists is incorrect. Hospital pharmacists prepare and
distribute prescribed medications. Pharmacists do not have
prescriptive authority and cannot convey verbal medication
prescriptions in person or over the telephone.Mental health
technicians is incorrect. Mental health technicians work under the
supervision of the nurse and assist clients with activities of daily
living. They do not have prescriptive authority. Nurse practitioners
is correct. Nurse practitioners have prescriptive authority and can
convey verbal medication prescriptions in person and over the
telephone.