The nurse is preparing a narcotic analgesic for a client with a ...

[codyclark]

The nurse is preparing a narcotic analgesic for a client with a pain level of 7 out of 10.
 
  When documenting the dose removed from the medication cabinet, the nurse notes that there is a discrepancy with the last removal by a nurse on another shift who is a charge nurse. The nurse reports the incident and can expect to be: 1. Ostracized by the staff.
   2. Protected by the whistleblower act.
   3. Summoned to testify.
   4. Sued by the charge nurse.

Question 2

The laboring client's fetal heart rate baseline is 120 beats per minute (bpm). Accelerations are present to 135 bpm. During contractions, the fetal heart rate gradually slows to 110 bpm and is at 120 bpm by the end of the contraction.
 
  What nursing action is best? 1. Document the fetal heart rate.
   2. Apply oxygen via mask at 10 liters.
   3. Prepare for imminent delivery.
   4. Assist the client into Fowler's position.

[mbcrismon]

Answer to Question 1

2. Protected by the whistleblower act.

Rationale:
The nurse will be protected by the whistleblower act because misuse of narcotics is against the law. The staff should not know that the incident was reported. The nurse will probably not have to testify because the management team will gather the evidence. The nurse will not be sued by the charge nurse because the nurse reports the incident but does not necessarily identify the person responsible for it.

Answer to Question 2

1. Document the fetal heart rate.

Rationale:
The described fetal heart rate has a normal baseline, the presence of accelerations indicates adequate fetal oxygenation, and early decelerations are normal. No intervention is necessary. The fetal heart rate tracing is normal; oxygen is not indicated. There is no indication that delivery will be occurring soon. The fetal heart rate tracing is normal, no intervention is necessary. The client does not need to be assisted into the Fowler's position.

[codyclark]

Excellent

[raenoj]

Gracias!