When planning care for a patient, what general rule should the nurse follow when choosing goals for a patient?
•Patient goals should be measurable and attainable.
•Patient goals should always be specific to each individual and are not universal because even the same disease process affects individuals differently.
•A patient's goals may be challenging but never unattainable or very difficult to achieve.
•Patient goals should be identified for all patients as soon as they are admitted, not just when they become stable.
A nurse completes a six-month orientation program in the operating room to be a circulating nurse. As a circulator, the nurse will be responsible for which of the following?
A nurse is administering PPD tests to other healthcare workers. The nurse inserts the needle at what angle?
While a patient is receiving IV ceftriaxone, she developed a generalized red, itchy rash. The nurse stopped the infusion, notified the physician, and followed the physician's order for
A nurse is transcribing new orders for a patient with constipation who was admitted by a resident physician after midnight. An order states "methylnaltrexone (Relistor) 8 mg subcutaneous injection QOD in the morning. Begin today." Regarding this order, which of the following is true?
A patient at the clinic is prescribed a Schedule III narcotic analgesic for chronic pain. The nurse should instruct the patient that the prescription will become void if not filled within:
A nurse assistant from another unit asks an RN if she can read the chart of a patient that the RN nurse is caring for. In what situation would this be appropriate?
The nurse reviews an order written by the doctor for a patient with pneumonia. The order is as follows: Levofloxacin 750 mg
A nurse is preparing to administer parenteral nutrition (PN) to a toddler. However, the patient does not have a central access, requiring the nurse to administer the PN via peripheral IV. What is the maximum safe glucose concentration that can be administered through a peripheral IV?
A patient is receiving 1 unit of packed red blood cells. The patient starts to develop signs of a hemolytic reaction. How should the nurse respond?
The physician orders morphine sulfate, 4 mg IV, for a patient with post-operative pain. The vial concentration is 10 mg/ml. What is the correct volume to administer?
A medical-surgical unit is implementing a floor stock system for medications. Which of the following is an advantage of a floor stock system?
A nurse is caring for a patient who is recovering in the PACU immediately after general anesthesia for an open abdominal surgery. When planning care for this patient, which diagnosis will the nurse determine
A nursing student is preparing an IM injection and asks the preceptor what gauge of
When administering lipid emulsions via piggyback to a patient requiring total parenteral nutrition, the nurse remembers to:
When preparing to hand off a patient at 1900, the nurse notices that the patient did not receive her daily dose of enoxaparin (Lovenox) at 0900. In addition to notifying the physician, administering the medication late as ordered, and notifying the charge nurse, what other documentation must the nurse complete prior to leaving for the day?
The nurse is caring for a patient who has acquired a healthcare-associated infection with clostridium
The nurse is assessing her patient for pain. The nurse recognizes the following signs that the patient is living with chronic pain:
A patient in respiratory distress is being cared for by an RN, an LPN, and a nursing assistant. The nursing assistant checks the patient's pulse oximetry level as requested by the RN. The patient's reading is 88%. There is an order for oxygen, 1-4L/m, if the patient's oxygen level is sustained below 90%. The RN is busy assessing a critical patient. What should she do next?
A nurse gives the wrong patient a dose of fentanyl. After assessing the patient, the nurse fills out an incident report. What is the purpose of an incident report?
A nurse is assessing his patients in the morning and finds that a frail 85-year-old female patient is soiled in bed. The patient reports that she has asked to be cleaned numerous times and has been ignored. Of the following, which demonstrates appropriate documentation in the patient's chart?
A hospital nurse discovers a fire in a patient room. After rescuing the patient and pulling the fire alarm, the nurse attempts to control the spread of the fire using an extinguisher. Which type of prevention is this?
A patient post-tonsillectomy is transferred back to his room from the post-anesthetic care unit (PACU). What is the safest progression of diet for the patient?
A client on neutropenic precautions is being cared for by a health care team. What role in patient care would be appropriate for the licensed practical nurse (LPN)?