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- the physician prescribes medicatiom m 75 mg intermusculart immediately. the medication label state medication m 100mcg/ ml. how many ml should the nurse prepare to admininster the correct dose?You are providing the immediate preoperative care for a womanscheduled for surgery to remove a brain tumor. She tells you shedoes not want the surgery because she knows she is dying andjust wants to go home to be with her husband and children. Shealso knows that her husband cannot accept the fact that she is dying and wants her to have the surgery. What do you do?Sheila, an RPN has been working at the Victoria General Hospital for the last 15years. The first seven years she worked on a busy medical unit where she was part-time and worked both days and nights and the equivalent of full time hours because shewent in more or less whenever she was called. She really enjoyed the work on this unitbut when a full-time posting came up on the Palliative Unit she really felt she shouldapply as she was getting married, saving to buy a house and thought it was veryimportant to have more stable work. Sheila was the successful applicant in competingfor this position. She was thrilled and eager to work in another area of nursing;Palliative Care.Sheila has been working on this unit for 8 years now. She has really found thework on the Palliative Unit to be very rewarding; supporting families as they deal withthe end stages of life; losing a loved one. Recently, she is beginning to find 12 hourdays, nights and weekends and the intensity of the care along with…
- The nurse discovers that a male client has attemptef suicide by slashing his wrists. What should the Nurse do First?Identify and discuss ways in which thegender of the physician and the gender ofthe patient influence patient care.Ms. Hall has an order for hydromorphone (Dilaudid), 2 mg,intravenously, q 4 hours PRN pain. The nurse notes thataccording to Ms. Hall’s chart, she is allergic to Dilaudid. Theorder for medication was signed by Dr. Long. What would bethe correct procedure for the nurse to follow in this situation?a. Administer the medication; the doctor is responsible formedication administration.b. Call Dr. Long and ask that she change the medication.c. Ask the supervisor to administer the medication.d. Ask the pharmacist to provide a medication to take theplace of Dilaudid.
- Should a pharmaceutical representative ever take precedence over scheduled patient appointments?A visiting nurse is performing a family assessment of ayoung couple caring for their newborn who was diagnosedwith cerebral palsy. The nurse notes that the mother’s hairand clothing are unkempt, the house is untidy, and themother states that she is “so busy with the baby that I don’thave time to do anything else.” What would be the priorityintervention for this family?a. Arrange to have the infant removed from the home.b. Inform other members of the family of the situation. c. Increase the number of visits by the visiting nurse.d. Notify the care provider and recommend respite care forthe mother.doctor's office supports a community of 332 people in a small town, and the staff isrelated to a few of the people. How difficult would it be to protect patient diagnosis andspecific medical information if everyone knows one another? What could be done to assist inhis area?
- A physician orders a pain medication for a postoperativepatient that is a PRN order. When would the nurse administerthis medication?a. A single dose during the postoperative periodb. Doses administered as needed for pain reliefc. One dose administered immediatelyd. Doses routinely administered as a standing orderA 17-year-old college student calls the emergency department(ED) and tells the nurse that she was raped by a professor.She wants to come to the ED but only if the nurse can assureher that they will not call her parents. What should be thenurse’s first priority?a. Getting the patient into a safe environment and mobilizingsupport for her. b. Encouraging the student to disclose the name of the pro-fessor so that his predatory behavior will be stopped. c. Convincing the student to be assessed for pregnancy, STIs,or other complications.d. Convincing the student to tell her parents so that she canreceive their support.Who completes the health history and current reason for visit? A Receptionist B Nurse C Provider D Patient or patient representative