After shift change the nurse discovers that a client's IV heparin ...

[RYAN BANYAN]

After shift change the nurse discovers that a client's IV heparin has been turned off at the IV controller. The amount of fluid left in the IV bag indicates that the client received half of the dose ordered.
 
  Which statement should be documented in the client's medical record? 1. IV heparin restarted. Physician notified. Client's vital signs unchanged.
  2. IV heparin restarted at a rate to catch up dosage accidentally deleted.
  3. IV heparin turned off by previous shift. Restarted.
  4. IV heparin restarted and incident report completed.

Question 2

The nurse manager is coaching an employee who has been late for work three mornings this week.
 
  What statements and questions should the manager include in this coaching session? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. What is causing you to be late?
  2. When you are late it throws the pace of the entire unit off and client care suffers.
  3. Does it not bother you that your lateness makes everyone else's job more difficult?
  4. You have been late three times this week and that is not acceptable.
  5. What are you going to do to avoid being tardy again?

[kingdude89]

Answer to Question 1

1
Rationale 1: The documentation in the chart should be a statement of the facts as well as the client's physical status after the incident.
Rationale 2: The words accidentally should not be used to document incidents.
Rationale 3: The nurse is not certain the IV was turned off by the previous shift, so that entry should not be used.
Rationale 4: The fact that an incident report was completed should not be documented.
Global Rationale:

Answer to Question 2

1,2,4,5
Rationale 1: The manager should investigate why the nurse is being tardy.
Rationale 2: The impact on client care is always the most important aspect of meeting job expectations.
Rationale 3: Accusing the nurse of not caring about others in the workplace is not appropriate at this point.
Rationale 4: The employee must first know that the tardy behavior is unacceptable.
Rationale 5: The manager should develop a plan for behavior change that the nurse can agree to.
Global Rationale:

[RYAN BANYAN]

TY

[kingdude89]

Happy to Help