The nurse manager conducts regular audits of patient care medication records and notices that the amount of narcotic pain medications administered during the evening shift on a postsurgical unit is higher than usual. Which action should the nurse manager take first?

Conduct a closer examination of staff nurse's distribution of pain medication from evening shift.

Hold a mandatory staff meeting to discuss the findings of documentation audits from every shift.

Question clients about effectiveness of pain medication.

Discuss with healthcare provider a plan to change client analgesia.

Answer and Explanation

The Correct Answer is A

Choice A rationale: Conducting a closer examination of staff nurses' distribution of pain medication is the first step to identify any issues or patterns contributing to the higher than-usual administration of narcotic pain medications.

Choice B rationale: Holding a mandatory staff meeting may be necessary, but a focused examination should precede broader discussions.

Choice C rationale: Questioning clients about the effectiveness of pain medication is an important aspect of the investigation but should follow a thorough examination of medication distribution.

Choice D rationale: Discussing with the healthcare provider about changing client analgesia may be considered later based on the findings of the examination.

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Correct Answer is B

Explanation

Choice A rationale: While the client with the gunshot wound requires attention, the client with a collapsed left lower lung and 100 ml drainage in a chest tube collection container is at immediate risk for respiratory compromise.

Choice B rationale: The client who fell from a ladder with a collapsed left lower lung and 100 ml drainage in a chest tube collection container requires the most immediate intervention to address potential respiratory distress.

Choice C rationale: The client post-mastectomy with 50 ml of serosanguineous fluid in a Jackson-Pratt drain may need attention, but the respiratory distress in the other client takes precedence.

Choice D rationale: The client who had an abdominal perineal resection with no drainage on the dressing and reporting chills may require attention, but the respiratory distress in the other client is a more urgent concern.

A. is the cost of equipment reasonable? B. Can the equipment be updated each year? C. Will the equipment require annual repair? D. How many departments can use this equipment?

Correct Answer is A

Explanation

Choice A rationale: Assessing whether the cost of the equipment is reasonable is crucial in determining the financial feasibility and cost-effectiveness of the purchase. Choice B rationale: While the ability to update the equipment is important, the initial cost and overall benefits should be considered first.

Choice C rationale: Considering whether the equipment will require annual repair is important but is a secondary consideration after evaluating the initial cost. Choice D rationale: The number of departments that can use the equipment is relevant, but the primary focus should be on the cost-benefit analysis to justify the expense.

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The nurse manager conducts regular audits of patient care medication records and notices that the amount of narcotic pain medications administered during the evening shift on a postsurgical unit is higher than usual. Which action should the nurse manager take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse receives change-of-shift report from the prior nurse assigned to a group of clients on a post-surgical unit. Which client requires the most immediate intervention by the nurse?

Correct Answer is B

Explanation

A group of nurse managers is asked to engage in a needs assessment for a piece of equipment that will be expensed to the organizations budget. Which question is most important to consider when analyzing the cost-benefit for this piece of equipment?

Correct Answer is A

Explanation

Several nurses are elected by their peers to serve on a negotiating committee to recommend new healthcare benefits. After the new benefits plan is developed and approved, which action is most important for the nurses working on this committee to implement?

Four clients are scheduled to receive IV infusions, but there are only three IV pumps available. Which prescribed infusion can most safely be administered without an IV infusion pump?

During a 24-hour electronic health record review of a client in acute renal failure, the nurse notices that a prescription, written 12 hours ago for every 6 hours serum potassium levels, was not transcribed by the previous shift. Which immediate action is best for the nurse to take?

A client with life threatening injuries from a gunshot wound to the abdomen is mechanically ventilated and sedated. The client has a large family present who are asking multiple and repetitive questions. Which intervention should the nurse implement first?

The nurse is caring for an older adult who was admitted with a urinary tract infection and is now exhibiting signs of severe inflammatory response syndrome (SIRS). Which collaborative care goal(s) should the nurse include in the plan of care? Select all that apply.