One of the clients assigned to the nurse's care is to receive a ...

[cartlidgeashley]

One of the clients assigned to the nurse's care is to receive a medication that the nurse is not familiar with and is not listed in the drug reference manual. The best action of the nurse is to:
 
  1. Follow the physician's orders as written and give the medication.
  2. Call the pharmacy and do further investigating before administering the medication.
  3. Ask the client about this medication.
  4. Call the physician and ask what the medication is and what it is for.

Question 2

On one of the first days working alone, the novice nurse must provide teaching on tracheostomy care to the client as well as the client's spouse. This nurse is not familiar with the teaching aspect. The best action for the nurse is to:
 
  1. Ask the nurse mentor to assist with the teaching after reviewing the procedure.
  2. Read the policy and procedure manual before the teaching session.
  3. Do the best the nurse can by remembering what was taught in nursing school.
  4. Ask for a different assignment until the nurse feels comfortable with this one.

[Dinolord]

Answer to Question 1

Correct Answer: 2
Rationale 1: Following the physician's order is important, but the nurse is still responsible to know and understand the medication, its action, and adverse actions as well as interactions with other medications.
Rationale 2: The nurse should clearly understand all nursing interventions to be implemented and question any that are not understood. The nurse is responsible for intelligent implementation of medical and surgical plans of care. The pharmacist would be the most appropriate reference point for this nurse to begin to research this problem.
Rationale 3: The client should be informed about the medications and treatments, but the nurse does not utilize the client for scientific knowledge and professional standards of care.
Rationale 4: The pharmacist would be the most appropriate reference point for this nurse to begin to research this problem.

Answer to Question 2

Correct Answer: 1
Rationale 1: When implementing some nursing interventions, the nurse may require assistance. In this case, the nurse lacks the knowledge or skills to implement a particular nursing activity (teaching).
Rationale 2: Reading and reviewing the policy and procedure are important, but should be followed up with asking for assistance.
Rationale 3: Doing the best the nurse can would not be acceptable.
Rationale 4: Asking for a different assignment would not be acceptable.

[cartlidgeashley]

Gracias!

[tranoy]

Excellent