Author Question: Which of the following statements by the nurse includes the elements identified for use during ... (Read 26 times)

lindiwe · **on:** Jul 22, 2018

Which of the following statements by the nurse includes the elements identified for use during self-introduction?

a. I'm Sally. I will be taking care of you for today.
b. Hello, Mr. MacInnis. I'm your nurse today.
c. Good morning, Mr. MacInnis. I am a student nurse; my name is Sally.
d. Hi, dear. My name is Sally. I will be your registered nurse for the next 2 days.

Question 2

An order is written for (phenytoin) Dilantin 500 mg IM q3-4h prn for pain. The nurse recognizes that treatment of pain is not a standard therapeutic indication for this drug.

The nurse believes that the prescriber meant to write for hydromorphone (Dilaudid). What should the nurse do? a. Give the patient Dilaudid, as it was meant to be written.
b. Call the prescriber to clarify and justify the order.
c. Administer the medication and monitor the patient frequently.
d. Refuse to give the medication and notify the nurse supervisor.

blakeserpa · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

C

Feedback
A I'm Sally. I will be taking care of you for today does not acknowledge the patient and does not include the nurse's designation.
B Hello, Mr. MacInnis. I'm your nurse today does not state the nurse's name or clarify her designation; nurse can mean several different designations.
C A proper self-introduction includes acknowledging the patient, giving your name, and indicating your status. Good morning, Mr. MacInnis. I am a student nurse; my name is Sally acknowledges the patient and states the nurse's name as well as her nursing designation.
D While Hi, dear. My name is Sally. I will be your registered nurse for the next 2 days contains the components of stating the nurse's name and designation, using terms such as dear, honey, or sweetheart when acknowledging the patient is inappropriate, and may be perceived as disrespectful and unprofessional.

Answer to Question 2

B
If the nurse is apprehensive about the drug, dose, route, or reason for a medication, the nurse should first call the prescriber and clarify. The nurse should not change the order without the prescriber's consent. Ultimately, the nurse can be held responsible for administering an incorrect medication. If the prescriber is unwilling to change the order and does not justify the order in a reasonable and evidence-based manner, the nurse may refuse to give the medication and notify her supervisor.