"You are having an allergic reaction. I will get an order for Benadryl."
"That feeling of warmth is normal when the dye is injected."
"That feeling of warmth indicates that the clots in the coronary vessels are dissolving."
"I will tell your doctor and let him explain to you the reason for the hot feeling that you are experiencing."
The nursing assistant wears gloves while giving the client a bath.
The nurse wears goggles while drawing blood from the client.
The doctor washes his hands before examining the client.
The nurse wears gloves to take the client’s vital signs.
The client loses consciousness
The client vomits.
The client’s ECG indicates tachycardia
The client has a grand mal seizure
Examine the perianal area with a flashlight 2 or 3 hours after the child is asleep
Scrape the skin with a piece of cardboard and bring it to the clinic
Obtain a stool specimen in the afternoon
Bring a hair sample to the clinic for evaluation
Treatment is not recommended for children less than 10 years of age
The entire family should be treated
Medication therapy will continue for 1 year
Intravenous antibiotic therapy will be ordered
The client receiving linear accelerator radiation therapy for lung cancer
The client with a radium implant for cervical cancer
The client who has just been administered soluble brachytherapy for thyroid cancer
The client who returned from placement of iridium seeds for prostate cancer
The client with Cushing’s disease
The client with diabetes
The client with acromegaly
The client with myxedema
Inserting a Foley catheter
Discontinuing a nasogastric tube
Obtaining a sputum specimen
Starting a blood transfusion
Continuing to monitor the vital signs
Contacting the physician
Asking the client how he feels
Asking the LPN to continue the post-op care
The RN with 2 weeks of experience in postpartum
The RN with 3 years of experience in labor and delivery
The RN with 10 years of experience in surgery
The RN with 1 year of experience in the neonatal intensive care unit
The facility fails to provide literature in both Spanish and English.
The narcotic count has been incorrect on the unit for the past 3 days.
The client fails to receive an itemized account of his bills and services received during his hospital stay.
The nursing assistant assigned to the client with hepatitis fails to feed the client and give the bath.
Call the Board of Nursing
File a formal reprimand
Terminate the nurse
Charge the nurse with a tort
The 78-year-old who had a gastrectomy 3 weeks ago and has a PEG tube
The 5-month-old discharged 1 week ago with pneumonia who is being treated with amoxicillin liquid suspension
He 50-year-old with MRSA being treated with Vancomycin via a PICC line
The 30-year-old with an exacerbation of multiple sclerosis being treated with cortisone via a centrally placed venous catheter
A schizophrenic client having visual and auditory hallucinations and the client with ulcerative colitis
The client who is 6 months pregnant with abdominal pain and the client with facial lacerations and a broken arm
A child whose pupils are fixed and dilated and his parents, and a client with a frontal head injury
The client who arrives with a large puncture wound to the abdomen and the client with chest pain
The eye should be cleansed with warm water, removing any exudate, before instilling the eyedrops.
The child should be allowed to instill his own eyedrops.
The mother should be allowed to instill the eyedrops.
If the eye is clear from any redness or edema, the eyedrops should be held.
"It is okay to give my child white grape juice for breakfast."
"My child can have a grilled cheese sandwich for lunch."
"We are going on a camping trip this weekend, and I have bought hot dogs to grill for his lunch."
"For a snack, my child can have ice cream."
Ask the parent/guardian to leave the room when assessments are being performed.
Ask the parent/guardian to take the child’s favorite blanket home because anything from the outside should not be brought into the hospital.
Ask the parent/guardian to room-in with the child.
If the child is screaming, tell him this is inappropriate behavior.
Remove the mold and clean every week.
Store the hearing aid in a warm place.
Clean the lint from the hearing aid with a toothpick.
Change the batteries weekly.
Body image disturbance
Impaired verbal communication
Risk for aspiration
Vomiting and diarrhea
Intravenous access supplies
A tracheostomy set
Intravenous fluid administration pump
Ham sandwich on whole-wheat toast
Spaghetti and meatballs
Hamburger with ketchup
Notify the physician
Recheck the O2 saturation level in 15 minutes
Apply oxygen by mask
Assess the child’s pulse