Author Question: The nurse caring for an adult client in the intensive care unit (ICU) is given a verbal prescription ... (Read 136 times)

Mr.Thesaxman · **on:** Jun 25, 2018

The nurse caring for an adult client in the intensive care unit (ICU) is given a verbal prescription by a first-year medical resident.

The nurse determines that the best course of action is to check with the attending healthcare provider before implementing the prescription. Which is the rationale for why the nurse is experiencing conflict regarding this situation?
A) The resident seems unsure of the prescription.
B) The nurse only takes prescription from attending healthcare providers.
C) The nurse does not like first-year residents.
D) The nurse may not trust the resident to make the best care decisions.

Question 2

The nurse is creating a four-column plan of care for a client. For which areas should the nurse prepare to document when creating this care plan?

Select all that apply.
A) Medications
B) Nursing diagnosis
C) Goals
D) Interventions
E) Evaluation

cclemon1 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: D

This type of conflict is most likely caused by a lack of trust in the resident on the part of the nurse. Nurses who work in critical care learn to validate orders given by a resident because a mistake can mean the client's life. The nurse may not like residents, but that is not a reason to question their orders. There is no evidence here that the resident is unsure of the order given. Residents can give orders, preferably written, but the nurse is wise to confirm the order with the managing physician.

Answer to Question 2

Answer: B, C, D, E

The column plan of care uses columns to categorize data for each phase of the nursing process. This type of care plan may include four columns: (a) nursing diagnoses, (b) goals/desired outcomes, (c) nursing interventions, and (d) evaluation. Medications are not listed on the plan of care.