A nurse suspects that another nurse on the unit is removing a small amount of morphine from the syringe before administering the medication to the client.

Which of the following actions should the nurse take?

Inform the charge nurse about her suspicion.

Report the incident to the hospital security department.

Ask the assistant personnel (AP) to observe the other nurse's actions.

Approach the other nurse to discuss her suspicion.

Answer and Explanation

The Correct Answer is A

The nurse should inform the charge nurse about her suspicion.
The charge nurse is responsible for managing the unit and can take appropriate action to investigate the matter and ensure that proper procedures are followed.
Choice B is incorrect because reporting the incident to the hospital security department is not the first step that should be taken.
The charge nurse should be informed first and can then decide if further action, such as involving the security department, is necessary.
Choice C is incorrect because it is not appropriate for the nurse to ask assistant personnel (AP) to observe the other nurse’s actions.
This could create a hostile work environment and may not be an effective way to address the issue.
Choice D is incorrect because approaching the other nurse directly to discuss the suspicion may not be the best course of action.
It could create tension and conflict between the two nurses and may not lead to a resolution of the issue.
Instead, informing the charge nurse allows for proper procedures to be followed in addressing the matter.

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Correct Answer is ["100"]

Explanation

The nurse should set the IV flow rate to deliver 100 gtt/min.

To calculate the flow rate in gtt/min, you can use the formula: (Volume to be infused (mL) x Drop factor (gtt/mL)) ÷ Time (min) = Flow rate (gtt/min).

Plugging in the values from the question: (100 mL x 60 gtt/mL) ÷ 60 min = 100 gtt/min.

A. "The time it takes for heparin to dissolve a clot depends on the size of the clot.". B. "The time it takes for heparin to dissolve a clot varies between clients.". C. "Usually, it takes at least 2 to 3 days for heparin to dissolve a clot.". D. "Heparin prevents new clots from forming rather than dissolving existing ones.".

Correct Answer is D

Explanation

Heparin is an anticoagulant that is used to decrease the clotting ability of the blood and help prevent harmful clots from forming in blood vessels 1.
However, heparin will not dissolve blood clots that have already formed, but it may prevent the clots from becoming larger and causing more serious problems 12.

Choices A, B, and C are incorrect because heparin does not dissolve existing clots. Instead, it works to prevent new clots from forming 12.

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A nurse suspects that another nurse on the unit is removing a small amount of morphine from the syringe before administering the medication to the client. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer dextrose 5% in water IV to infuse at 100 mL/60 min. The drop factor on the manual IV tubing is 60 gtt/mL. The nurse should set the IV flow rate to deliver how many gtt/min. (Round to the nearest whole number.).

Correct Answer is ["100"]

Explanation

A nurse is caring for a client who has a thrombus and is receiving a continuous infusion of heparin. The client asks the nurse how long it will take for the heparin to dissolve the clot. Which of the following responses should the nurse make?

Correct Answer is D

Explanation

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A nurse is reinforcing teaching about the manifestations of hyperglycemia with a client who has diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?

A nurse suspects that another nurse on the unit is removing a small amount of morphine from the syringe before administering the medication to the client.

Which of the following actions should the nurse take?