A nurse discovers that a medication error occurred. What should be the nurse's first
response?
a. Record the error on the medication sheet.
b. Notify the physician regarding course of action.
c. Check the patient's condition to note any possible effect of the error.
d. Complete an incident report, explaining how the mistake was made.
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c. Check the patient's condition to note any possible effect of the error.
The nurse enters a patient's room and initiates a rapid response call based on which
of the following assessments? Select all that apply.
A.An acute change in oxygen saturation less than 90% despite oxygen administration
B.An acute change in systolic blood pressure to less than 90 mm Hg or a sustained
,increase in diastolic blood pressure greater than 110 mm Hg
C.New-onset chest pain
D.An acutely cold, cyanotic, or pulseless extremity
E.An acute change in pupillary response
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A, B, C, D, E
Following assessment of an obese adolescent, a nurse considers nursing diagnoses
for the patient. Which diagnosis would be most appropriate?
a. Risk for injury
b. Risk for delayed development
c. Social isolation
d. Disturbed body image
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d. Disturbed body image
A patient is anxious, dyspneic, and pale and uses accessory muscles to breathe. Vital
signs are temperature 37°C (98.6°F), pulse 126 beats/min, respirations 40 breaths/min,
and BP 122/74 mm Hg. The type of assessment that the nurse would perform is a(n)
A.emergent assessment.
B.general survey.
C.health history.
D.objective assessment.
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, A.emergent assessment.
The nurse encourages parents of hospitalized infants and toddlers to stay with their
child to help decrease what potential problem?
a. Problems with attachment
b. Separation anxiety
c. Risk for injury
d. Failure to thrive
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b. Separation anxiety
Which of the following are interventions the nurse makes to prevent infections? Select
all that apply.
A.Immediately discontinue use of medication if an adverse drug reaction is suspected.
B.Prevent infection of the blood from corrupted central lines by changing daily.
C.Contact provider for sepsis treatment with positive urine dipstick for leukocyte
esterase and/or nitrite.
D.Assess for surgical site infections for 30-90 days after an operative procedure
E.Screen patients for sepsis using evidence-based care and report all patients with
sepsis.
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D.Assess for surgical site infections for 30-90 days after an operative
procedure
response?
a. Record the error on the medication sheet.
b. Notify the physician regarding course of action.
c. Check the patient's condition to note any possible effect of the error.
d. Complete an incident report, explaining how the mistake was made.
Give this one a try later!
c. Check the patient's condition to note any possible effect of the error.
The nurse enters a patient's room and initiates a rapid response call based on which
of the following assessments? Select all that apply.
A.An acute change in oxygen saturation less than 90% despite oxygen administration
B.An acute change in systolic blood pressure to less than 90 mm Hg or a sustained
,increase in diastolic blood pressure greater than 110 mm Hg
C.New-onset chest pain
D.An acutely cold, cyanotic, or pulseless extremity
E.An acute change in pupillary response
Give this one a try later!
A, B, C, D, E
Following assessment of an obese adolescent, a nurse considers nursing diagnoses
for the patient. Which diagnosis would be most appropriate?
a. Risk for injury
b. Risk for delayed development
c. Social isolation
d. Disturbed body image
Give this one a try later!
d. Disturbed body image
A patient is anxious, dyspneic, and pale and uses accessory muscles to breathe. Vital
signs are temperature 37°C (98.6°F), pulse 126 beats/min, respirations 40 breaths/min,
and BP 122/74 mm Hg. The type of assessment that the nurse would perform is a(n)
A.emergent assessment.
B.general survey.
C.health history.
D.objective assessment.
Give this one a try later!
, A.emergent assessment.
The nurse encourages parents of hospitalized infants and toddlers to stay with their
child to help decrease what potential problem?
a. Problems with attachment
b. Separation anxiety
c. Risk for injury
d. Failure to thrive
Give this one a try later!
b. Separation anxiety
Which of the following are interventions the nurse makes to prevent infections? Select
all that apply.
A.Immediately discontinue use of medication if an adverse drug reaction is suspected.
B.Prevent infection of the blood from corrupted central lines by changing daily.
C.Contact provider for sepsis treatment with positive urine dipstick for leukocyte
esterase and/or nitrite.
D.Assess for surgical site infections for 30-90 days after an operative procedure
E.Screen patients for sepsis using evidence-based care and report all patients with
sepsis.
Give this one a try later!
D.Assess for surgical site infections for 30-90 days after an operative
procedure
