Professional Practice

A client has an IV infusing to keep vein open. How long should the IV fluid hang before the bag is replaced?

24hrs

An individual returns to the nursing unit after being discharged demanding Tylenol #3s. He is advised that he is no longer a patient on the unit and this medication cannot be administered. He swears and makes threats. What should the nurse do?

Call the police and report the incident

Setting limits on unacceptable behaviour should include consequences that are appropriate, enforceable and----.

consistent

Which of the following are considered to be medication errors? 1. Not documenting the administration of a medication 2.Questioning an incorrect order 3.Following an incorrect order 4. Not following a medication order

All of these EXCEPT 2.

Which of the following medications require the nurse to aspirate before administration?

Allergy serum

After surgery, the surgeon writes "resume pre-op meds" as an order on a patient's chart. What should the nurse do with this order?

Contact the surgeon for clarification as this is not a complete order

A nurse knows that "DNR" stands for:

Do not resuscitate

What is the correct thing to do if you make a mistake in entering data on a patient's chart?

Draw a line though the incorrect entry, date and initial it, and write in the correct data.

Which of the following is the major cause of acute hemolytic transfusion reactions in transfusion recipients?

Failure to verify the client's identification before transfusion

Dignity is " freedom from intrusion," and privacy is "being worthy of respect."

False

Repeated touching of clients in a very personal way should be employed as it is a powerful therapeutic tool.

False

personal boundaries are the same for all patients/ clients.

False

A client scheduled for the insertion of a percutaneous gastric feeding tube receives morphine 10mg before the procedure. Upon review of the client's chart, the nurse notices that the client has not signed the consent form. What should she do?

Inform the surgeon that the consent is not signed and the client has received morphine

A client develops peritonitis because of a distended bowel. The nurses who did not assess the client appropriately would be accused of:

Negligence

A nurse working on the crisis team in an emergency department is dealing with a client that is angry and experiencing delusional episodes. The client is threating to kill his wife and throw her body into the river. What should the nure's priority action be?

Notify the wife that she may be in danger

What should a nurse do if she discovers that the patient has D5W hanging in the IV bag instead of 0.9% saline as was ordered by the doctor?

Slow the D5W to keep vein open(KVO) and call the doctor

Which of the following solutions should be used by default to cleanse an operative wound during a dressing change?

Sterile 0.9% sodium chloride

Some boundary crossings are acceptable if in the nurse's professional judgment, they help to meet the client's therapeutic needs.

True