A co-worker tearfully confides that she is struggling with a growing work schedule. Which action by the nurse is most appropriate?

Ask if the co-worker needs help with child care.

Encourage the co-worker to switch to herbal remedies.

Refer the co-worker to the employee assistance program (EAP).

Suggest the co-worker try to get a daytime position.

Answer and Explanation

The Correct Answer is C

A. Ask if the co-worker needs help with child care. While offering practical help like child care might seem supportive, it doesn’t directly address the underlying issue of the co-worker’s struggle with the night shift.

B. Encourage the co-worker to switch to herbal remedies. Suggesting herbal remedies is not appropriate, as it doesn't address the root cause of the co-worker's difficulties. Herbal remedies are also not a proven or necessarily safe solution for stress or shift work issues.

C. Refer the co-worker to the employee assistance program (EAP). This is the most appropriate action. The EAP is designed to help employees deal with personal problems, including work-related stress, and can provide professional counseling and support services.

D. Suggest the co-worker try to get a daytime position. While shifting to a daytime position might be a long-term solution, it is not an immediate action. The EAP can help address the stress and explore options, including a potential shift change.

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Correct Answer is C

Explanation

A. Hemoglobin 12 mg/dL: Hemoglobin levels reflect the oxygen-carrying capacity of the blood and are not directly related to kidney function or medication dosage adjustments. This value is within the normal range and does not suggest a need for medication dosage changes.

B. Glucose 100 mg/dL: Blood glucose levels are not directly related to kidney function and do not indicate the need to adjust medication dosages. This value is within normal limits.

C. Creatinine 8 mg/dL: Creatinine levels are a key indicator of kidney function. A creatinine level of 8 mg/dL is significantly elevated, suggesting severe renal impairment. Medications that are excreted by the kidneys may need to be dosed lower or avoided altogether to prevent toxicity.

D. Potassium 4.0 mEq/L: This is a normal potassium level and does not indicate the need for medication dosage adjustments. While potassium levels are important in kidney disease, this specific value does not suggest a dosage change is necessary.

A. Checking the label before taking the medication out of the cabinet, pouring the medication, and placing the bottle back in the cabinet. B. Checking the label while removing the bottle from the cabinet, after pouring the dose of medication, and while replacing the bottle in the cabinet. C. Checking the label after removing the bottle from the cabinet and pouring the dose of medication and before closing the cabinet door. D. Checking the label before leaving the medication room.

Correct Answer is B

Explanation

A. Checking the label before taking the medication out of the cabinet, pouring the medication, and placing the bottle back in the cabinet. This option does not follow the "three checks" principle effectively. The label should also be checked after pouring and before administering the medication to ensure accuracy.

B. Checking the label while removing the bottle from the cabinet, after pouring the dose of medication, and while replacing the bottle in the cabinet. This option correctly follows the "three checks" principle: when removing the medication from the cabinet, after pouring the dose, and when replacing the bottle. This ensures that the right medication is given in the correct dose.

C. Checking the label after removing the bottle from the cabinet and pouring the dose of medication and before closing the cabinet door. This option misses the second check before administering the medication, which is essential to ensure the correct drug and dosage.

D. Checking the label before leaving the medication room. Checking the label before leaving the medication room does not ensure that the correct medication and dosage are being administered at the bedside.

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A co-worker tearfully confides that she is struggling with a growing work schedule. Which action by the nurse is most appropriate?

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