A nurse's coworker makes a practice of telling offensive jokes or ...

[cool]

A nurse's coworker makes a practice of telling offensive jokes or stories with a sexual undertone during the shift. The best action of the nurse is to:
 
  1. Ignore the coworker and walk away.
   2. Report the incident to the nurse manager.
   3. Tell the coworker to stop the activity because the conduct is offensive.
   4. Ask to be scheduled opposite this coworker.

Question 2

A client with cardiomyopathy receiving diuretic therapy has a urine output of 300 cc in 8 hours. Which of the following should the nurse do to assist this client?
 
  1. This is a normal urine output, and the nurse does not need to do anything in addition to help the client.
   2. Notify the physician since the client could be dehydrated
   3. Assist the client to ambulate
   4. Measure abdominal girth as a true assessment of the client's fluid status

[mirabriestensky]

Answer to Question 1

3. Tell the coworker to stop the activity because the conduct is offensive.

Rationale:
Nurses must develop skills of assertiveness to deter sexual harassment in the workplace. Telling the co-worker to stop and why, is the first step in putting an end to the situation. Ignoring the situation or asking to be scheduled opposite this person is not addressing the situation in an assertive manner. Reporting the incident to the nurse manager would be a second step if the behavior doesn't stop after the nurse's approach.

Answer to Question 2

2. Notify the physician since the client could be dehydrated

Rationale:
The nurse should notify the physician since a urine output of 300 cc in 8 hours is less than 30 cc per hour. The client could be dehydrated despite having peripheral edema. This is not a normal urine output. The nurse should not assist the client out of bed to ambulate at this time. Daily weights are an objective measurement of fluid volume and not abdominal girth.