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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The nurse should administer 2 tablets.
Since each tablet contains 1.5 mg of dexamethasone, to administer a dose of 3 mg, the nurse should give 3 mg / 1.5 mg/tablet = 2 tablets.
Choice A is incorrect because 1 tablet would only provide a dose of 1.5 mg.
Choice C is incorrect because 3 tablets would provide a dose of 4.5 mg.
Choice D is incorrect because 4 tablets would provide a dose of 6 mg.
Correct Answer is ["A","C"]
Explanation
A client who has an understanding of the manifestations of hyperglycemia would know that their breath may have a fruity odor.
This is due to the presence of ketones, which are produced when the body breaks down fat for energy instead of using glucose.
Choice A is also correct.
Blurry vision can be a symptom of hyperglycemia.
High blood sugar levels can cause the lens of the eye to swell, leading to changes in vision.
Choice B is incorrect because hyperglycemia can cause an increase in appetite, not a decrease.
Choice D is incorrect because hyperglycemia can cause an increase in thirst, not a decrease.
This is due to the body’s attempt to flush out excess glucose through increased urination, which can lead to dehydration and increased thirst.
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