What step should the nurse take to alert the risk management system?
An elderly adult with Parkinson's disease falls while going to the bathroom and gets injured. The nurse taking care of the client informs the primary healthcare provider. What step should the nurse take to alert the risk management system? The nurse should document the incident in the occurrence report tool.
What interventions should the nurse take to ensure the client’s well-being?
A nurse is caring for a community-dwelling older adult with dementia. What interventions should the nurse take to ensure the client's well-being? Select all that apply. -Foster human dignity and maintain the best possible functioning, protection, and safety -Show the caregiver techniques to dress, feed, and toilet the older adult
What important step should the nurse take to evaluate lifestyle change?
What important step should the nurse take to evaluate lifestyle change in the client? Encourage the client to maintain an exercise and eating calendar to track adherence and provide positive reinforcement. A nurse uses therapeutic communication techniques in order to achieve desired client outcomes.
What should the nurse expect the client to do during assessment?
Autonomy When assessing a client, the nurse notices that he or she has reached the action stage of health behavior change. What should the nurse expect to be the client's reaction after providing suggestions for change? The client's previous habits may prevent taking action related to new behaviors.
What are the practices of comparing medication administration records and patient records?
Practices include comparing the medication administration record and patient record at the beginning of a nurse’s shift; determining the rationale for each ordered medication, and requesting that physicians rewrite orders when improper abbreviations are used, are important strategies. • Knowledge.
What is the sixth right?
A sixth right is the right reason. Some literature describes up to 12 rights, including education, documentation, right to refusal and expiration date. • Independent double checks. The Institute for Safe Medication Practices (ISMP) (2014) recommends the use of redundancies, such as independent double checks of high alert medications due to ...
Should a nurse administer medication?
A nurse should never administer a medication which he/she is unfamiliar. • Patient education. Ensuring that patients and families are knowledgeable regarding the medication regimen so that they can question unexplained variances are also associated with lower rates of medication errors. • Practice environment.
What is the cause of an error in medication administration?
A lack of proper documentation for any medication can result in an error. For example, a nurse forgetting to document an as needed medication can result in another dosage being administered by another nurse since no documentation denoting previous administration exists.
How to prevent medication errors?
1. Ensure the five rights of medication administration. Nurses must ensure that institutional policies related to medication transcription are followed.
Why do hospitals use name alerts?
Some institutions use name alerts to prevent similar sounding patient names from potential medication mix up. Names such as Johnson and Johnston can lead to easy confusion on the part of nursing staff, so it is for this reason that name alerts posted in front of the MAR can prevent medication errors. 6.
Why is it important to verify medication records?
Often not all elements of a medication record are available for easy verification, but it is of paramount importance to verify with every possible source—including the discharging or transferring institution/unit, the patient or patient’s family, and physician—to prevent potential errors related to improper reconciliation.
Do nurses have to transcribe medication?
Nurses must ensure that institutional policies related to medication transcription are followed. It isn’t adequate to transcribe the medication as prescribed, but to ensure the correct medication is prescribed for the correct patient, in the correct dosage, via the correct route, and timed correctly (also known as the five rights).
Can 0.25 mg be taken without a zero?
A dosage of 0.25mg can easily be construed as 25mg without the zero in front of the decimal point, and this can result in an adverse outcome for a patient.
Do biological vials need refrigeration?
Most biologicals require refrigeration, and if a multidose vial is used, it must be label ed to ensure it is not used beyond its expiration date from the date it was opened. 9. Learn your institution’s medication administration policies, regulations, and guidelines.
What to do if you think a newly ordered medication will do more harm to the patient than its intended therapeutic effect
If you think a newly ordered medication will do more harm to the patient than its intended therapeutic effect, clarify it with the doctor. Sometimes, nurses are more sensitive in overseeing drug incompatibilities in the patient’s treatment regimen. It takes a simple clarification to avoid adverse drug reactions. 9.
What is the written order for primidone?
The written order reads like “ prednisone ” but considering the case of the patient, the nurse decided to clarify with the doctor if the patient really needs prednisone as part of his maintenance drugs at home. Upon clarification, the ordered medication is actually “ primidone ”.
Why is it important to have someone double check your high alert medications before you administer them to your patient?
High alert medication are so potent that a slight variation in dosage given will directly affect the patient’s vital signs. For this reason, it is important to have someone double check your high alert medications before you administer them to your patient.
How to ensure that you are dealing with the right drug?
To ensure that you are dealing with the right drug, it will be best to use both the generic and brand name of the medication ordered. Be careful as well with drug packaging as some medicines come in deceptively similar packaging or canisters . 3. Check with your drug handbook.
Why is it important to prevent medication errors?
Preventing medication errors is essential in ensuring patients’ safety. A simple flaw in the administration of medication can put a patient’s life in danger. Fortunately, you only need one trait to reduce the risk of medication errors at work – attentiveness. With your full attention and presence of mind, you can reduce the likelihood ...
How to avoid miscommunication with a pharmacist?
To avoid miscommunication, there are simple things you can do in carrying out doctor’s orders for new medications.
What drugs are similar to clonidine?
There are lots of drugs with similar brand names like clonidine and klonopin, celebrex and cerebryx and many more.
What does it mean when a nurse hears 5 to 30 gurgles in the abdomen?
If the nurse hears 5 to 30 gurgles in the abdomen per minute, it indicates that the patient has normal peristalsis and the patient can consume foods and fluids. An absence of bowel sounds may indicate a decrease in or absence of intestinal peristalsis, which needs to be reported immediately.
How often should a nurse use an incentive spirometer?
The nurse should encourage the patient to use the incentive spirometer device 8 to 10 breaths every hour. The best time to teach the patient about the incentive spirometer is during the preoperative phase. The nurse is performing a preoperative assessment on a patient before elective knee replacement surgery.
What should a nurse do when a patient coughs?
The patient should take several deep breaths before coughing.
What is the difference between regional anesthesia and general anesthesia?
General anesthesia is used for major surgery requiring extensive tissue manipulation, and it produces amnesia, analgesia, muscle paralysis, and sedation. Regional anesthesia causes loss of sensation in an area of the body and is used for some surgical procedures and pain management.
What are the symptoms of hemorrhage?
A drop in blood pressure; rapid, thready pulse; cool, clammy, pale skin; tachypnea; and restlessness are symptoms of hemorrhage. Postoperative hemorrhage may lead to a loss of intravascular volume leading to a drop in blood pressure and a weak, thready pulse.
How long does it take for a nurse to care for a gallbladder?
The nurse is caring for a patient with cholecystitis who is scheduled for gallbladder removal surgery in 2 hours. Although the patient reports that the patient's pain is well controlled, the patient remains tachycardic, tachypneic, and diaphoretic. When asked what is bothering him, the patient replies, "Nothing.
Why do nurses raise the side rails of their bed?
Therefore, the nurse raises the side rails of the bed to prevent falls. The nurse also keeps a call light within the patient's reach to help the patient inform the nurses about any complications immediately. The nurse raises the bed to a 45-degree angle to reduce the chances of aspirating vomitus.
What is assessment in nursing?
Assessment is the process of collecting comprehensive data pertinent to the client's health and/or situation. A nursing student notes that a nurse is required to integrate best current research with clinical expertise and client preferences and values in order to provide quality healthcare.
What is a nurse in nursing?
A nurse is caring for a client with renal failure. The client wants to go back home but the family members want the client to undergo a kidney transplant. The nurse gives details about the possible threats and benefits of the surgery to the family and informs them that the client wants to stay home.
How long does a nurse sleep?
A nurse is caring for a client who has recently been sleeping for 12 to 14 hours on weekend nights. The nurse instructs the client to sleep for no longer than 9 hours because excessive sleeping can lead to health issues.
Why does a nurse withhold opioids from a client with intractable pain?
A nurse withholds a prescribed opioid medication from a client with intractable pain because the nurse fears the client will become addicted. In this situation the nurse is adhering to which ethical principle? Beneficence.
What is a nurse hired to work in?
A nurse is hired to work in a healthcare facility that has a completely computer-based client information system. The nurse in charge knows that the newly hired nurse is knowledgeable about this system when the nurse says what? "Client information is immediately available when this system is used.".
What is community health nursing?
Community health nursing does not provide direct or indirect care services to subpopulations in a community. A nurse caring for a client who presents with herpes zoster conducts extensive research on the disease to formulate the care plan. In addition, the nurse adds photos of the client's infected area to the electronic health record (EHR) ...
What is a nursing student liable for?
Liable, along with the employer, for misapplication of equipment or use of defective equipment that harms the client. A nursing student is recalling the definitions of acts that are classified as torts in nursing practice.
What is the triage nurse calling a mother who is breastfeeding her 4-day-old baby?
The triage nurse in the pediatrician's office returns a call to a mother who is breastfeeding her 4-day-old infant. The mother is concerned about the yellow seedy stool that has developed since discharge home.
What is a nurse in hospital?
A nurse is planning care for an adult who is hospitalized for diarrhea and dehydration. The client is receiving intravenous fluids but continues to have watery stools. The nurse reviews the intake and output record for the last 24 hours (view the chart).
What does a client with schizophrenia hear?
A client with schizophrenia hears a voice telling him that he is evil and must die. The nurse understands that this client is experiencing:#N#A) Delusion.#N#B) Flight of ideas.#N#C) Ideas of reference.#N#D) A hallucination.
What is the final phase of a termination?
During the termination phase (final phase), the leader encourages a discussion of feelings associated with termination. When leading a group, the nurse should act as facilitator; offering advice isn't appropriate. The group members should work together to resolve conflicts) Upgrade to remove ads.
How long does it take for depression to go away?
For some clients, 2 to 4 weeks is needed for optimal effects. The client's statement that the depression will be gone in 5 to 7 days indicates to the nurse that clarification and further teaching is needed.
Does alprazolam interact with norgestrel?
Alprazolam doesn' t cause clinically significant drug interactions with levodopa, famotidine, or hormonal contraceptives such as norgestrel) A client on the behavioral health unit tells a nurse that she experiences palpitations, trembling, and nausea while traveling alone, outside her home.
Can a nurse obtain a court order?
It isn't appropriate for the nurse to obtain a court order for a higher level of treatment. Monitoring the client's behavior isn't as effective as intervening before a crisis occurs) During an appointment with the nurse, a client says, "I could hate God for that flood.". The nurse responds, "Oh, do not feel that way.
How often do IRBs conduct a continuing review?
Many IRBs are institutionally based programs. IRBs conduct an initial review of all proposed research studies and then conduct a continuing review, at least annually, for studies in progress for more than 12 months. The IRB also conducts quality assurance audits. 3.
What does an IRB member evaluate?
IRB members also evaluate ethical components to determine that basic human rights are not being compromised, selection of subjects is fair and equitable, informed consent will be obtained, and confidentiality of study data will be protected. 26.
Why do nurses need to be aware of the risk involved in research?
Nurses need to be aware that all research studies involve some level of risk because risk in research is defined broadly and is not limited to physical injury.
What is the principle of beneficence?
The principle of beneficence requires researchers to maximize benefits and minimize risks for research subjects. PIs must weigh the benefits and risks of a research project by conducting a risk assessment that considers both physical and nonphysical harm.
What is clinical nursing?
Clinical nurses are in a unique position to support research that studies the effects of interventions, symptom management, education, and treatment plan adherence in their patients. Nurses may also participate in research studies that aim to advance professional nursing practice. Using a quiz format, this article addresses clinical nurses' role in ...
What are the two government agencies that oversee research?
Two government agencies oversee research conduct: the Office for Human Research Protections and the FDA. 24,25 Hospitals, universities, and other organizations receiving federal research funding enter into an agreement, called an assurance, regarding the ethical conduct of research.
What was the Belmont Report?
The Belmont Report heavily influenced the Federal Policy for the Protection of Human Subjects, known as the Common Rule, published in 1991. 15-17 This regulation added basic protections for participation of pregnant women, fetuses, neonates, children, and prisoners in research.
What is a nurse instructing a nursing assistant?
The nurse instructs the nursing assistant to release the restraints to permit muscle exercise: A nurse is preparing a sterile field to change a client's sterile dressing.
How to use sterile gauze?
Cuff the top of the disposable paper bag, and place it within reach of the work area. Maintain the sterile field and gloved hands above the level of the waist. Make sure to use sterile gloves when opening up sterile gauze packages to place on the sterile field. Do not turn your back to the sterile field at any time.
What does a nurse do at night?
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 is a home care nurse?
A home care nurse is instructing a client in the use of ice packs to treat an eye injury. The nurse instructs the client to: Wrap a plastic bag filled with ice in a pillowcase and place it on the eye. Place in order of priority the actions that the nurse should take to perform hand-washing procedure.
How often are train restraints released?
The restraints are being released every 2 hours. A safety knot has been used to secure the restraints. The call light has been placed within reach of the client. A triage nurse in an emergency department (ED) is attending to the victims of a train crash. All victims are alert.
What is a nurse preparing to initiate a continuous tube feeding?
A nurse is preparing to initiate a continuous tube feeding, using a tube-feeding pump. On bringing the pump to the bedside and preparing to plug the pump in, the nurse discovers that there is no available plug in the wall socket.
What is a nurse assessment?
A nurse, assessing a client's readiness for discharge, is performing a home safety assessment to determine whether there are any environmental hazards in the home. Which of the following statements, if made by the client, would prompt the nurse to investigate further? Select all that apply.