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While reviewing a client's chart, a nurse notices a discrepancy in the medication record. What should the nurse do?
- A. Correct the discrepancy and document the correction.
- B. Report the discrepancy to the nurse manager.
- C. Ignore the discrepancy assuming it is a clerical error.
- D. Discuss the discrepancy with the client and adjust the records.
Correct Answer: B
Rationale: Reporting medication discrepancies to the nurse manager is crucial to ensure patient safety and proper follow-up. The nurse manager is responsible for addressing medication errors and implementing necessary corrective actions. Choice A is incorrect because simply correcting the discrepancy without reporting it may lead to potential harm to the patient and violates professional standards. Choice C is incorrect as ignoring the discrepancy increases the risk of medication errors going unresolved. Choice D is incorrect because discussing the discrepancy with the client before verifying the accuracy of the record can cause confusion and compromise patient safety.
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The emergency department has been notified of a potential bioterrorism attack. Which action by the nurse is priority?
- A. Prepare for potential posttraumatic stress related to this bioterrorism attack.
- B. Transport patients quickly and efficiently through the elevators.
- C. Monitor for specific symptoms related to the bioterrorism attack.
- D. Manage all patients using standard precautions.
Correct Answer: D
Rationale: During a potential bioterrorism attack, the priority for the nurse is to manage all patients using standard precautions. This approach ensures the safety of both patients and healthcare providers by preventing the spread of potential bioterrorism-related illnesses. Option A is incorrect because managing patient care and safety through standard precautions takes precedence. Option B is incorrect as patient transport should also be done while adhering to infection control measures. Option C is incorrect as monitoring for specific symptoms is important but not the priority when all patients need to be managed with standard precautions.
A nurse manager assigns a nursing assistant a task outside of their role. What should the nursing assistant do?
- A. Follow the manager's directive
- B. Report the task to the charge nurse
- C. Refuse to perform the task
- D. Perform the task and document later
Correct Answer: B
Rationale: If a nurse manager assigns a nursing assistant a task that is outside of their role, the nursing assistant should report the task to the charge nurse. This is important because the charge nurse can provide guidance on whether the task is appropriate for the nursing assistant to perform. Choice A is incorrect because blindly following a directive that is outside of the nursing assistant's scope could lead to negative consequences. Choice C might not be the best course of action initially, as it's important to seek clarification first. Choice D is also not the best option because performing a task outside of one's role without proper authorization can pose risks to both the patient and the nursing assistant.
A patient is prescribed a diuretic for hypertension. What is the most important assessment the nurse should perform?
- A. Monitor the patient's respiratory rate.
- B. Check the patient's blood pressure regularly.
- C. Monitor the patient's potassium levels.
- D. Monitor the patient's sodium levels.
Correct Answer: D
Rationale: Corrected Rationale: When a patient is prescribed a diuretic for hypertension, monitoring the patient's sodium levels is crucial. Diuretics can lead to alterations in sodium levels, potentially causing complications like hyponatremia. While monitoring other parameters like respiratory rate, blood pressure, and potassium levels may also be important, the primary concern with diuretic therapy is the risk of sodium imbalance, making the monitoring of sodium levels the most critical assessment.
The nurse is caring for a patient in restraints. Which essential information will the nurse document in the patient's medical record to provide safe care?
- A. Straps with quick-release buckles attached to bed side rails.
- B. Attempts to distract the patient with television are unsuccessful.
- C. Bilateral radial pulses present, 2+, hands warm to the touch.
- D. Released from restraints, active range-of-motion exercises completed.
Correct Answer: C
Rationale: The correct answer is C because documenting bilateral radial pulses being present, 2+, and hands warm to the touch is crucial when caring for a patient in restraints. This information helps in monitoring circulation and assessing the patient's well-being. Choices A, B, and D are incorrect because they do not provide essential information related to the patient's safety and well-being while in restraints.
While providing care to a group of patients, which patient should the nurse see first?
- A. A patient after knee surgery who needs range of motion exercises
- B. A patient on bed rest who has renal calculi and needs to go to the bathroom
- C. A bedridden patient who has a reddened area on the buttocks who needs to be turned
- D. A patient with a hip replacement on prolonged bed rest reporting chest pain and dyspnea
Correct Answer: D
Rationale: The nurse should see the patient with a hip replacement experiencing chest pain and dyspnea first because these symptoms could indicate a pulmonary embolism, which is a life-threatening condition requiring immediate attention. The other patients also need care, but urgent assessment and intervention are crucial in the case of potential pulmonary embolism to prevent serious complications or death.