An order written by the physician is reviewed by the nursing staff, and no one is familiar with the treatment instructions. A nurse who is recently hired knows that this treatment is covered by the states nurse practice act.
What is the nurses’ best course of action?
Call the physician to ask for clarification.
Check the states nurse practice act.
Refer to the facility’s policy and procedures to determine the course of action.
Contact the nursing supervisor for approval to carry out treatment.
The Correct Answer is C
When faced with an unfamiliar treatment instruction, it is important for the nurse to consult the facility’s policies and procedures to determine the appropriate course of action. These policies and procedures provide guidance on how to carry out treatments safely and effectively and can help ensure that the patient receives the best possible care.
While it may also be appropriate for the nurse to call the physician for clarification (a), check the state’s nurse practice act (b), or contact the nursing supervisor for approval (d), consulting the facility’s policies and procedures should be the first step in determining the appropriate course of action.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Empathy is the ability to understand and share the feelings of another person. It involves acknowledging and validating the other person's emotions and experiences. In this scenario, the nurse should demonstrate empathy towards the client who is expressing her feelings about her child's insensitive behavior.
Option a is dismissive and minimizes the client's concerns. It does not show empathy or understanding of the client's situation.
Option b might sound sympathetic, but it could also come across as pitying, which may not be helpful or supportive for the client. It also does not reflect an understanding of the client's feelings.
Option d is judgmental and critical, and it could make the client feel defensive and unsupported.
Option c is the best response as it shows empathy and validates the client's emotions. It acknowledges the client's difficulty and demonstrates the nurse's understanding and support for the client's situation.
Correct Answer is ["3"]
Explanation
The nurse needs to administer Thorazine 75 mg IM STAT, and the concentration of the medication is 25 mg/mL. To determine the amount of medication to draw up, the nurse can use the following formula:
Dose (in mg) / Concentration (in mg/mL) = Volume (in mL) Plugging in the values, we get:
75 mg / 25 mg/mL = Volume (in mL) Solving for Volume:
Volume = 75 mg / 25 mg/mL = 3 mL
Therefore, the nurse should draw up 3 mL of Thorazine from the vial.
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