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 A
Explanation
Protamine is a medication that can be used to reverse the effects of heparin in the event of an overdose.
It binds to heparin and neutralizes its anticoagulant effects.
Choice B is not correct because glucagon is used to treat low blood sugar, not heparin overdose.
Choice C is not correct because oxygen is not a medication and is not used to treat heparin overdose.
Choice D is not correct because insulin is used to lower high blood sugar levels, not to treat heparin overdose.
Correct Answer is A
Explanation
To calculate the rate at which the volumetric pump should be set to deliver the intravenous fluids, you need to divide the total volume of fluid (3,000 mL) by the total time in hours (24 hours).
This gives you 3,000 mL ÷ 24 hours = 125 mL/hr.
Therefore, the nurse should set the volumetric pump to deliver 125 mL of fluid per hour.
Choice B is incorrect because 130 mL/hr would result in a total of 3,120 mL over 24 hours.
Choice C is incorrect because 135 mL/hr would result in a total of 3,240 mL over 24 hours.
Choice D is incorrect because 140 mL/hr would result in a total of 3,360 mL over 24 hours.
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