Chapter 7, Problem 1R

The primary nurse, leaving the unit for lunch, provides a verbal report for the covering nurse. The report included one client's prescription for morphine: 2 mg intravenously (IV) every 3 hours for abdominal pain secondary to major abdominal surgery that morning. During the primary nurse's lunch, the client complains of pain at a level 8 out of 10 on the pain scale. Which action would the covering nurse perform first? Determine the documented time of the last administration of pain medication. Verify that the written prescription matches the administration record. Encourage nonpharmacological measures initially to relieve the pain. Explain that the primary nurse will be back from lunch in a few minutes.

A client asks the nurse about the significance of black box warnings included on the label of specific prescription medications. What information should the nurse provide to the client? Select all that apply. "They advise the nurse about look-alike or sound-alike drugs." "They advise the client about serious potential risks related to the use of the drug." "They advise the healthcare professional about serious side effects related to the use of the drug." "They advise the healthcare professional about serious potential risks related to the use of the drug." "They advise the nurse about the dosage strength of the drug and the recommended route of administration." "They indicate the need to consult the pharmacist, and seek reliable drug references and U.S. Food and Drug Administration (FDA) recommendations."

Explain why community Midwives are considered a PHC role. and Analyse how community midwives would identify the health needs of their client group.   Discuss how the community nurses may establish needs of client group.  Discuss what type of clients use the services provided by community midwives and how they would determine the health concerns of the client group and the factors that may influence this.

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Describe what a computerized provider order entry (CPOE) system is. Would you say it diminishes medication errors or it makes it more complicated and creates more errors for the nurse. Provide concrete examples to illustrate your point.

When completing a safety event report, the nurse should:a. Include suggestions on how to prevent the incident fromrecurring.b. Provide minimal information about the incident.c. Discuss the details with the patient before documentingthem.d. Objectively describe the incident in detail.

Discuss how the Registered Nurse uses clinical judgement to set priorities when caring for a hypoglycemic patient.

Describe the best way to interview a patient.  Explain at least four tips on effective interviewing.

Which intervention by the nurse would be beneficial to promote a healthy lifestyle in an older adult client who lives alone at home and refrains from physical activity for fear of falling when walking ? Select all that apply. One, some, or all responses may be correct. Instruct the client to apply bedside rails. Encourage the client to wear nonskid shoes. Suggest that the client use an assistive device. Ask the client to install handrails in the bathroom. Help the client rearrange furniture in the house.