While working as nurse in a hospital you notice that a co-worker has unsteady gait and slurred speech. You suspect that she may be an impaired nurse.
Which of the following will be the appropriate action to take?
Ask your co-worker to perform a sobriety test.
Report your co-worker to the supervisor.
Ignore your co-worker’s behavior until others notice the problem.
Confront the co-worker with your suspicions.
The Correct Answer is B
This is because impaired nursing can have serious consequences for patients' safety and well-being, and it is your ethical and professional responsibility to take action to ensure patient safety.
Confronting the co-worker directly ( Option d) may not be the best approach, as it could lead to a confrontational situation and may not resolve the issue. Asking your co-worker to perform a sobriety test ( Option a) may also not be appropriate, as you may not be trained or authorized to administer such a test, and it may not be a reliable indicator of impairment. Ignoring the co-worker's behavior ( Option c) is not an appropriate action, as it could potentially harm patients and violate your ethical and professional responsibilities as a nurse.
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Correct Answer is B
Explanation
In this situation, the patient is expressing a lack of understanding and confusion about their medication. The therapeutic communication technique that would be most helpful is giving information, which involves providing the patient with accurate and clear information about their medication, its purpose, and the benefits of taking it.
Option a, "Ask for what you need," may not be effective in this situation because the patient has already expressed what they need, which is information about their medication.
Option c, "Silence," would not be helpful because the patient is seeking information and support.
Option d, "Using general leads," involves using open-ended statements or questions to encourage the patient to share more information, but it may not address the patient's primary concern of not understanding their medication.
Correct Answer is ["2"]
Explanation
The nurse will administer 2 tablets of Zyprexa 7.5 mg to equal the ordered dose of Zyprexa 15 mg. Explanation:
"PO" stands for "by mouth" and "HS" stands for "at bedtime". The medication order is for Zyprexa 15 mg to be taken orally at bedtime for the treatment of psychosis. The nurse has Zyprexa 7.5 mg tablets available.
To determine how many tablets the nurse should administer, we need to do a dose calculation. We know that the ordered dose is 15 mg and the available dose is 7.5 mg. Therefore, we can set up a proportion:
7.5 mg / 1 tablet = 15 mg / x tablets Solving for x, we can cross-multiply:
7.5 mg * x tablets = 15 mg * 1 tablets x = 15 mg / 7.5 mg
x = 2 tablets
Therefore, the nurse should administer 2 tablets of Zyprexa 7.5 mg to equal the ordered dose of Zyprexa 15 mg.
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