Friday, May 27, 2011

Nursing Review Questions #2

Q : Kathryn, a 16-year-old young woman, approaches a nurse and discloses that she is pregnant. Kathryn asks the nurse how she can obtain a therapeutic abortion. The nurse responds by stating, “You can’t do that. It is immoral, and you will regret that decision for the rest of your life.” The nurse is demonstrating which the following?

1.Client-focused care. 

2.Leadership. 

3.Abuse. 

4.Advocacy.


Answer: 3


rationale: The nurse should be client focused and act as an advocate for the client. An effective nurse is often a leader, but in this case, she has put her own biases before the needs of the client and may influence the client’s decisions. This is considered abuse.


Nursing Review Questions #1

This week's question :
Q : The doctor orders a medication for which the patient is allergic. The nurse places a call to the physician, but the call is not returned before the first dose is due. Which of the following is the appropriate next step the nurse should take in this situation?

1. Notify the nursing supervisor of the situation.                                     

2. Give the medication as ordered by the doctor.                                       

3. Hold the medication and wait to speak to the physician.                                        

4. 
Call the pharmacist and discuss the patient’s allergies.                    
Answer: 1

Rationale:
 The nurse should notify the supervisor of the situation. The patient should not be disadvantaged by the fact that he or she is not receiving medication that is needed. The physician has not returned the nurse’s telephone call, and the supervisor needs to assist and support the nurse. Failing to give the medication or giving a medication to which the patient is allergic would be a medication error. By notifying the supervisor, the nurse will be supported in the decision not to administer the medication.

Sunday, May 8, 2011