A nurse suspects another nurse is experiencing chemical impairment during their shift. Which of the following is an appropriate action for the nurse to take?
Report to the nurse manager.
Set up a time to meet with the nurse.
Assume care of the nurse's assigned clients.
Ask another staff nurse to confirm the suspicion.
The Correct Answer is A
A. Report to the nurse manager: Reporting suspected chemical impairment to the nurse manager is the appropriate action because it ensures the concern is addressed through proper channels and in accordance with facility policy. This protects client safety, supports the impaired nurse, and allows for formal investigation and intervention.
B. Set up a time to meet with the nurse: Confronting the nurse directly may be unsafe, delay necessary intervention, and place clients at risk. Addressing the issue through the manager ensures immediate attention while maintaining professional and legal standards.
C. Assume care of the nurse's assigned clients: While client safety is critical, simply taking over assignments does not address the underlying concern or ensure the impaired nurse receives evaluation and support. Reporting is still required.
D. Ask another staff nurse to confirm the suspicion: Seeking confirmation from peers can lead to gossip or breaches of confidentiality and does not follow established protocols. Concerns should be reported through formal channels to protect clients and staff.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Arterial blood gases: ABGs assess acid-base balance and respiratory status, which are not directly affected by lithium therapy. They are not required prior to initiating lithium.
B. Total cholesterol: Lithium does not significantly impact lipid metabolism, so baseline cholesterol is not necessary before starting therapy.
C. Thyroid hormones: Lithium can affect thyroid function and may cause hypothyroidism over time. Evaluating baseline thyroid hormone levels prior to therapy helps monitor for potential adverse effects and guides ongoing management.
D. Hemoglobin: Lithium does not directly affect hemoglobin levels, so baseline hemoglobin measurement is not required for safe initiation of therapy.
Correct Answer is ["45"]
Explanation
Identify the ordered dose and the available concentration
Ordered Dose: 30 g
Available Concentration: 10 g per 15 mL
Calculate the volume to administer per dose using the Dose/Have method
Amount to administer = (Ordered Dose ÷ Dose on Hand) × Quantity
Quantity corresponding to the Dose on Hand = 15 mL
Volume = (30 ÷ 10) × 15
= 3 × 15
= 45 mL
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