A nurse manager is planning an in-service for a group of staff nurses about documentation guidelines in The Joint Commission's National Patient Safety Goals. Which of the following examples should the nurse manager include when discussing error-prone abbreviations?

Potassium chloride 20 mEq oral every other day

Regular insulin 2U SQ before meals

Vancomycin 1 g IV piggyback every 8 hr

Ativan 0.5 mg IV every 2 hr as needed for anxiety

Answer and Explanation

The Correct Answer is B

A. Potassium chloride 20 mEq oral every other day This statement does not contain any error-prone abbreviations.
B. Regular insulin 2U SQ before meals The abbreviation "U" for units can be mistaken for "0" or "4", leading to dosing errors. The correct term is "units".
C. Vancomycin 1 g IV piggyback every 8 hr This statement does not contain any error-prone abbreviations.
D. Ativan 0.5 mg IV every 2 hr as needed for anxiety This statement does not contain any error-prone abbreviations.

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Correct Answer is D

Explanation

A. Assist the client to make autonomous decisions about his treatment options. Assisting the client to make autonomous decisions is important, but it cannot be done effectively until the client is aware of his diagnosis. This action would follow once the client is informed.
B. Reflect on her own opinion about withholding the diagnosis from him. Reflecting on her own opinion can help the nurse understand her biases but does not directly address the family's request or the client's immediate needs.
C. Inform the family that he has a legal right to be informed of his diagnosis. Informing the family about the client's legal right is essential, but first, the nurse should understand the family's perspective and concerns.
D. Determine the family's reasons for not telling him about his diagnosis. This is correct. Understanding the family's reasons provides context and helps the nurse address their concerns appropriately while advocating for the client’s right to know his diagnosis.

A. Place an alert sign on the door of the operating room. B. Provide powdered gloves for operating room staff. C. Use multidose vials that have rubber medication stoppers. D. Remove stopcocks from IV tubing.

Correct Answer is A

Explanation

A. Place an alert sign on the door of the operating room. Alerting all staff to the client's latex allergy is crucial to ensure that no latex-containing materials are used during the procedure.
B. Provide powdered gloves for operating room staff. Powdered gloves often contain latex and can increase the risk of latex exposure. Non-latex, powder-free gloves should be used.
C. Use multidose vials that have rubber medication stoppers. Multidose vials with rubber stoppers can contain latex, which poses a risk to the client. Single-dose vials or vials with latex-free stoppers should be used.
D. Remove stopcocks from IV tubing. Stopcocks are not a common source of latex. The focus should be on avoiding latex-containing materials and ensuring all staff are aware of the allergy.

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A nurse manager is planning an in-service for a group of staff nurses about documentation guidelines in The Joint Commission's National Patient Safety Goals. Which of the following examples should the nurse manager include when discussing error-prone abbreviations?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client whose family just learned that he has terminal pancreatic cancer. The family requests the diagnosis be withheld from the client. Which of the following actions should the nurse take first?

Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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