A nurse is conducting an initial assessment of a client and notices a discrepancy between the client's current IV infusion and the report received during the shift report. Which of the following actions should the nurse take?
Complete an incident report and place it in the client's medical record.
Compare the current infusion with the prescription in the client's medication record.
Contact the charge nurse to see if the prescription was changed.
Submit a written warning for the nurse involved in the incident.
The Correct Answer is B
A. An incident report is appropriate but should not be placed in the client’s medical record.
B. The nurse should first compare the current infusion with the prescription in the client's medication record to ensure the client is receiving the correct medication and dosage.
C. The nurse should verify the prescription before contacting the charge nurse.
D. Submitting a written warning is not the nurse's responsibility and is not appropriate in this situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. The client takes furosemide twice daily: There is no direct contraindication between furosemide and lavender oil.
B. Lavender oil, especially in aromatherapy, can trigger respiratory issues in some individuals, particularly those with asthma. Essential oils can act as irritants and exacerbate bronchospasms, potentially leading to wheezing, coughing, or an asthma attack. Therefore, the nurse should advise caution when using lavender oil in clients with a history of asthma.
C. The client takes vitamin C daily: There is no significant interaction between lavender oil and vitamin C.
D. While lavender has mild sedative properties, it is not a direct contraindication for clients with a history of alcohol use disorder. However, excessive use of lavender could enhance CNS depression when combined with alcohol, so it should be used with caution.
Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"D"}
Explanation
Rheumatoid arthritis: The client's symptoms of bilateral wrist and shoulder stiffness, fatigue, and loss of appetite, along with a positive ANA test and elevated ESR, are indicative of rheumatoid arthritis.
ESR level: The elevated ESR levels (21 mm/hr and 22 mm/hr) suggest inflammation, which is a common marker for rheumatoid arthritis.
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