Leadership/Management Questions

Chapter 20


Leadership/Management Questions


176. The charge nurse is observing a new nursing graduate perform an ear irrigation to remove impacted cerumen from the client’s ear. The charge nurse should intervene during the procedure if the new nursing graduate performs which action?








ANSWER: 2











ANSWER: 2, 4





Tip for the Beginning Nursing Student:


Unconsciousness is a state of complete or partial unawareness or lack of response to stimuli. It can be caused by a variety of conditions, such as shock, hypoxia, or stroke (brain attack). The client who is unconscious requires complete care, including mouth care. Depending on the state of unawareness, the client may exhibit some responses to stimuli, such as bearing down with the teeth if an object is placed in the mouth. It is extremely important to remember that the flat position places the client at risk for aspiration and that you should never insert a finger into a client’s mouth regardless of the state of consciousness. You will learn about the procedure for performing mouth care and the role of the nurse as a teacher and supervisor in your fundamentals of nursing course or in your leadership/management course.








ANSWER: 2, 4











ANSWER: 4











ANSWER: 1, 5











ANSWER: 2



Rationale:


If the health care provider writes a prescription that requires clarification, it is the nurse’s responsibility to contact the health care provider for clarification. If there is no resolution regarding the prescription because the prescription remains as it was written after talking with the health care provider, or because the health care provider cannot be located, the nurse should then contact the nurse manager or supervisor for further clarification as to what the next step should be. Under no circumstances should the nurse proceed to carry out the prescription until clarification is obtained. Calling the pharmacy is a resource action that will confirm that the dose of medication prescribed is inappropriate, but this action will not resolve the problem facing the nurse. Option 3 is a premature action.




Tip for the Beginning Nursing Student:


The client’s health care provider will document specific prescriptions regarding the client’s care in the medical record, and the nurse needs to follow the prescriptions unless the nurse deems that a prescription may harm the client. If the prescription can cause harm to the client, the nurse needs to contact the health care provider to change the prescription. If the health care provider does not change the prescription or if the nurse is unable to locate the health care provider, the nurse should follow the chain of command in the health care organization. In this situation, the nurse should contact the nursing supervisor. Under no circumstances should a nurse implement a prescription that could cause harm to the client. You will learn about health care providers’ prescriptions and the associated legal responsibilities in your fundamentals of nursing course or in your leadership/management course.








ANSWER: 2, 5






References


Christensen, Kockrow: Foundations (2011), pp. 575-576; Potter et al (2013), p. 1076.


183. A hospitalized client tells his evening nurse that he has received pain medication at 10:00 AM and again at 2:00 PM and that the medication provided no relief from the pain. The client says to the nurse, “Whenever that daytime nurse takes care of me and gives me pain medication it never works! I am so glad that you are here so that I can get some relief from this pain.” The nurse has observed this same occurrence with other clients who were cared for by this same daytime nurse and suspects that the daytime nurse is self-abusing drugs. The nurse should implement which action?





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Jul 24, 2016 | Posted by in NURSING | Comments Off on Leadership/Management Questions

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