Discussion 1

Discuss and justify two nursing safety considerations/ interventions for patients receiving pre-operative medication while awaiting transfer to the operating room.

A nurse makes a medication error. The best action is to:  a. Do not document any error on the patient's record. Document only on the incident or quality assurance report.  b. Document in the patient's record the error by either noting the omission of a drug or adding the drug given if it does not appear on the medication record  c. Document in the patient's record the error by either noting the omission of a drug or adding the drug as given even if it does not appear on the medication record describe the circumstances surrounding the error.  d. Document in the patient's record the error by either noting the omission of a drug or adding the drug as given if it does not appear on the MAR; also document on the incident or quality assurance report .

Being prepared is a key factor in conducting a competent health assessment. The nurse must display well-developed cognitive, interpersonal, technical, and ethical skills. Describe what you would do to prepare the patient, the room, and the environment for an examination. How and why would you modify these preparations for the following patients? a. A patient who is comatose b. A patient who is uncooperative c. A patient who does not understand your language d. A small child

Which of the following statements about patient medications is accurate? a. In most settings, student nurses are permitted to accept verbal orders from a physician. b. Upon admittance to a hospital, all patient medications from home should be sent home with the family or placed in safe-keeping. c. When a patient is admitted to a hospital, all drugs that the physician may have ordered while the patient was at home are continued. d. Safe practice dictates that a nurse follows. Written or verbal orders. ANSWER:

What are 5 questions an specifically an RN Nurse should ask the following patient?:   Pat owns a small cleaning company with commercial-grade machinery and cleaning chemicals. Pat comes to the CCC because he/she does not have health insurance, as a small business owner it is very expensive. Pat utilizes the Community Clinic (CC) for routine health problems and to renew prescriptions. However, he/she has not been to the CC recently except to get prescriptions refilled. Pat is now at the CC with a complaint of feeling run-down and tired all the time. Pat’s other complaints are some “achy” knees from his/her younger sports days and some shortness of breath and coughing, especially when working with the cleaning chemicals. In addition, Pat knows that he/she should be more physically active but is just too tired to exercise after a long day at work. Pat has tried “getting healthy” in the past with some success but then quickly goes back to his/her old habits.    Biometrics (today from…

Category: Health Promotion and Maintenance While conducting an initial health assessment, the nurse is collecting information from an 84-year-old female patient who has recently been admitted to the geriatric ward due to chronic hypertension and mild cognitive impairment. Which of the following pieces of information would be most beneficial for the nurse to gather in order to tailor an individualized care plan? A. An overview of the patient's general health and major illnesses over the past decade. B. Details of the patient's engagement in current health promotion activities, such as diet and exercise. C. A comprehensive family history of chronic diseases like diabetes or cardiovascular conditions. D. The patient's marital status and living arrangements to understand social support structures. E. The patient's medication adherence and understanding of the diabetes management plan. F. Previous experiences with hospitalizations or surgeries that might affect current health status.

Which situations are appropriate for the registered nurse (RN) to delegate patient care to the licensed practical nurse (LPN)?  Select all that apply. There is adequate staffing and sufficient time for supervision. The task being delegated is identified as part of the LPN job description. An admission assessment must be completed for the patient. The LPN is needed to care for a critical patient.      5. Repeated assessment of an unstable patient is necessary.

Using the scenario that follows, develop a plan of care for the following patient. The plan of care must include the following:   Full assessment Three nursing diagnosis Must include all the elements of the nursing diagnosis Three goals for each nursing diagnosis Must meet the SMART metrics At least one intervention for each goal Must be appropriate for the plan/goal identified Evaluation for each intervention Scenario History You have received report of the patient in your care. Patient assessment demonstrates that the patient was admitted overnight. The patient is a 54 year old male patient, married with three children ages 19 to 25. The patient lives at home with his wife, children, and his wife's mother. Patient is admitted after fainting on the golf course at 7am the day before. Emergency medical services was called. Assessment of the EMS personnel demonstrated that the patient suffered a cardiac arrest. CPR was started at the site. ACLS ambulance transported the patient…

A post-operative hospital patient falls while trying to get out of bed after a dose of pain medication. A case review notes that the bed check alarm that would alert nurses when a patient gets out of bed was in place, but not turned on. Nursing staff members attend a mandatory in-service on post-operative care and patient safety. What can be measured to show this intervention was effective?   Increased patient satisfaction scores Decreased patient pain medication use Increased staff use of safety practices Decreased patient fall risk scores

A hospital is experiencing a marked increase in medication errors due to inadequate patient identification. The review of the risk management plan reveals the need for additional patient safety initiatives. Which new risk management recommendation should be implemented? Train staff on medication dosage calculations Evaluate the pharmacy packing system Provide an orientation on medication dispensing equipment Use bar codes for medication administration