Author Question: A night shift nurse is assuming a day shift nurses client assignment. The assignment includes two ... (Read 128 times)

nenivikky · **on:** Jul 8, 2018

A night shift nurse is assuming a day shift nurses client assignment. The assignment includes two clients who are third day post-op colon resections in which Loratab has been controlling their pain.

The night shift nurse is conducting the shift assessment and both of these clients complain of pain. The night shift nurse was informed by the day shift nurse these two clients had just received two hydrocodone (Loratab) tablets for pain. What action should the night shift nurse take? 1. Repeat the medication.
2. Inform the manager of the situation.
3. Call the physician to obtain an order for IV narcotics.
4. Obtain a set of vital signs.

Question 2

The CNO (chief nurse officer) has received numerous complaints by staff regarding their manager. The staff describe behaviors such as not granting requested days off, favoring other staff members, and allowing lateral violence in the department.

Which statement by the CNO toward the manager would describe a lack of civility? 1. Your behavior is rude and disrespectful toward your staff.
2. This behavior is unprofessional.
3. This behavior is unacceptable.
4. This behavior warrants a written warning.

elyse44 · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

2
Explanation: 1. The nurse must determine that the clients received the medication, what time, and obtain a
current set of vital signs and assessment prior to repeating the medication. The nurse may call
the physician and discuss the situation, but the nurse would need more information, such as
did these clients receive this medication by another nurse and did it control their pain. These
clients are 3 days post-op and their pain should be controlled by p.o medications. The manager
or supervisor needs to be aware of the situation so it can be investigated.

Answer to Question 2

1
Explanation: 1. Lack of civility is rude, disrespectful, and impolite behavior. The behavior is unprofessional,
unacceptable, and probably would warrant a written warning but does not describe a lack of
civility.