Author Question: LuElla Jones, 86 years old, has been having nausea, vomiting, and diarrhea for 24 hours. The RN has ... (Read 104 times)

serike · **on:** Jul 11, 2018

LuElla Jones, 86 years old, has been having nausea, vomiting, and diarrhea for 24 hours. The RN has started an IV to rehydrate Ms. Jones, and the patient has been started on a course of IV antibiotics. The nursing assistant reports that Ms.

Jones is acting really weird and thought she was her granddaughter. Select the best response to the nursing assistant:
a. Confusion is normal for people who are sick
b. Ms. Jones should probably go to the hospital if she is that sick
c. Dehydration and infection are reversible causes of confusion, and Ms. Jones' confusion will probably improve with the IV fluids and antibiotic treatment
d. Having an IV is very frightening, so Ms. Jones will probably be confused as long as she is having IV therapy

Question 2

Suzie Weston is an afternoon-shift nursing assistant. You have been receiving complaints from the other nursing assistants that she is using the telephone in one of the resident's rooms to talk to friends and is not completing her assigned resident

care duties. What is the most important action of the nurse before confronting Suzie?
a. Review the facility's guidelines for probation
b. Call the nursing supervisor to initiate the termination process
c. Write a detailed narrative of the nursing assistants' complaints
d. Visit each of the residents in Suzie's care assignment

stanleka1 · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

C
Response C is the best answer; infection and dehydration are reversible causes of confusion, and Ms. Jones' mental status is likely to improve if these problems are reversed. Responses A, B, and D do not demonstrate knowledge of the impact of dehydration and infection on Ms. Jones' mental status. IV therapy can be frightening, but it would not be the only cause of confusion.

Answer to Question 2

D
Gathering resident care data and documenting your findings before confronting Suzie about an unacceptable behavior would strengthen the rationale for placing Suzie on probation (response A) or initiating termination procedures (response B). Writing a detailed narrative of the complaint (response C) would be a good idea, but it is not as important as having first-hand information regarding the problem.