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The RN instructs the LPN to "Give an enema to the patient in room 327 who is being discharged but is complaining of being constipated. Then be sure to document on the medication administration record when given." Which of the five rights was missing in this situation? The right of:
- A. direction and communication.
- B. task.
- C. person.
- D. circumstances.
Correct Answer: A
Rationale: The correct answer is A: direction and communication. The RN failed to provide clear direction to the LPN regarding the specific type of enema to be administered and the amount. Furthermore, there was a lack of communication regarding the patient's current condition and the rationale for the enema. The other choices are incorrect because:
B: task - The task of administering the enema was clearly communicated.
C: person - The patient was identified by room number, so the person was specified.
D: circumstances - While the circumstances of the patient's complaint were mentioned, the specific details related to the enema administration were lacking.
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Nurses on a busy medical schedule want to reduce documentation time and improve order entry. Additionally, patient records from previous visits are often incomplete or do not include care from other providers. To improve patient care, a taskforce suggests using an Electronic Medical Record for 1 month to determine whether this provides the desired outcomes. This unit is participating in which type of study?
- A. Ethnography
- B. Pilot
- C. Secondary data analysis
- D. Phenomenology
Correct Answer: B
Rationale: The correct answer is B: Pilot. A pilot study involves testing a new intervention on a small scale to assess feasibility and potential outcomes before implementing it on a larger scale. In this case, the unit is planning to use an Electronic Medical Record for a limited time to evaluate its impact on documentation time and patient care. This approach allows for targeted feedback and adjustments based on the outcomes observed during the trial period.
A: Ethnography involves in-depth observation and analysis of a specific culture or group, which is not the focus of the scenario.
C: Secondary data analysis involves the use of existing data for research purposes, not the implementation of a new intervention.
D: Phenomenology focuses on understanding individuals' subjective experiences, which is not the primary goal of implementing an Electronic Medical Record in this case.
When participating in a nurse licensure compact, the nurse:
- A. is held responsible for complying with the nursing practice laws in the state where practicing at the time care is rendered.
- B. must purchase a license in each state but does not retake the licensure examination.
- C. determines residency based on the state where educated as registered nurse.
- D. may practice using one license in any state or territory in the United States that recognizes the NCLEX as the source of licensure.
Correct Answer: D
Rationale: The correct answer is D because the Nurse Licensure Compact (NLC) allows nurses to practice using one license in any state that is part of the compact and recognizes the NCLEX as the source of licensure. This promotes mobility and access to care across state lines. Choice A is incorrect because the nurse is not held responsible for complying with the nursing practice laws of each state individually. Choice B is incorrect as purchasing a license in each state defeats the purpose of the compact. Choice C is incorrect as residency is not determined by where the nurse was educated but by the state where they hold a license.
The novice nurse calls a supervisor and requests that a "float nurse" be assigned to help with all "assessments of new admissions and postoperative patients." The supervisor asks, "How many admissions and surgery patients have you received?" The novice nurse becomes flustered because she has not checked the census but simply bases the need on feeling overwhelmed. This situation best indicates a lack of skills.
- A. organizational
- B. communication
- C. interpersonal
- D. clinical
Correct Answer: A
Rationale: The correct answer is A: organizational skills. The novice nurse's inability to assess the number of admissions and postoperative patients before requesting assistance indicates a lack of organizational skills. Organizational skills involve prioritizing tasks, managing time efficiently, and planning ahead. In this scenario, the nurse failed to gather essential information before making a decision, leading to inefficiency and potential misallocation of resources.
Choice B: communication skills, is not the best answer because the issue is not primarily related to communication breakdown but rather a lack of organizational skills. Choice C: interpersonal skills, is not the best answer because the problem does not stem from the nurse's ability to interact with others but rather from her inability to organize her workload effectively. Choice D: clinical skills, is not the best answer because the situation is more about managing workload and resources rather than clinical knowledge or expertise.
A nurse who is teaching a class to introduce telehealth to the staff would include which example?
- A. A robot performs menial housekeeping chores for an invalid patient.
- B. A computer software program alerts the nurse or physician who is reviewing orders that an order for a new drug can cause synergy of the theophylline inhaler.
- C. A physician speaks into a computer, and the admission history is recorded and saved in the patient file.
- D. While a patient in Wyoming performs peritoneal dialysis, a nurse watches remotely from California to ensure that all steps are being followed correctly.
Correct Answer: D
Rationale: The correct answer is D because it demonstrates the use of telehealth in monitoring and providing remote care to a patient. In this scenario, a nurse is able to supervise and ensure the correct execution of peritoneal dialysis by observing the patient from a different location. This exemplifies the practical application of telehealth in enhancing patient care and safety.
Choice A is incorrect because it describes a robot performing housekeeping chores, which is not directly related to telehealth or patient care. Choice B is incorrect as it focuses on computer software alerting about drug interactions, but it does not involve remote patient care or monitoring. Choice C is incorrect as it describes a physician dictating an admission history, which is not a direct example of telehealth involving remote patient monitoring or care.
A nurse is approached to sign a union authorization card. If signed, the card:
- A. authorizes the union to serve as his or her legal representative.
- B. indicates that the person is requesting additional information about collective bargaining.
- C. indicates the nurse desires to share information about grievances.
- D. gives permission for union dues to be deducted from pay.
Correct Answer: A
Rationale: Rationale for Answer A: Signing a union authorization card authorizes the union to serve as the nurse's legal representative in labor negotiations and other matters. By signing, the nurse is indicating consent for the union to act on their behalf. This is a crucial step in the unionization process.
Summary of Other Choices:
B: Requesting additional information about collective bargaining does not require signing a union authorization card.
C: Sharing information about grievances does not necessarily require signing a union authorization card.
D: Deducting union dues from pay is a separate process that typically requires a separate authorization form, not the union authorization card.