Tell the nursing staff they're responsible for the review and revision and welcome their recommendations for improving the materials.
Ask the two most proficient staff nurses to form a task force to review and revise client-education materials within the next 6 weeks. Have these nurses solicit input from clients and staff members.
Tell the nursing staff that the client education materials need revision. Ask the staff to select people to review the materials and make suggestions for change.
Ask the assistant manager to develop a plan for the review and revision of client-education materials.
Serum potassium level
Follow the chain of command to obtain adequate pain relief for the client.
Document that the physician was notified of the client's pain and continue to administer hydrocodone/APAP as ordered.
Give the client 1 hydrocodone/APAP tablet every 3 hours.
Give the client 2 hydrocodone/APAP tablets every 4 hours.
Assessing a client's pain
Taking a client's vital signs
Documenting a client's oral intake
Performing a blood glucose check
Evaluating a client's response to a blood pressure medication
Health care power of attorney
Keep instructions simple and brief because the client will have difficulty concentrating.
Speak clearly and slowly because the client will have difficulty hearing.
Assist the client with personal grooming because he'll have difficulty verbalizing his preferences.
Orient the client to time, place, and person as needed because of memory problems.
Assess vital signs frequently because vital bodily functions are affected.
Failure to act as a client advocate
Failure to communicate with the client
Failure to assess, monitor, and communicate
Failure to protect from harm
Apply heat to the fracture site.
Apply ice to the fracture site.
Perform ankle dorsiflexion three times per day.
Use crutches for 1 week.
Reposition the client every 2 hours.
Encourage the client to walk in the hall.
Provide the client dairy products at frequent intervals.
Provide supplemental feedings between meals.
Immediately remind the night-shift nurses of the daily calibrations.
Arrange a meeting of the day-shift and night-shift nurses.
Review the capillary glucose monitoring calibration log book.
Counsel the night charge nurse about the discrepancy.
½″ (1 cm)
2″ (5 cm)
6″ (15 cm)
8″ (20 cm)
Completes the vacation schedule without staff input
Delegates responsibility for evaluating the effectiveness of new equipment to the staff members who use that equipment
Identifies possible solutions to staffing problems and asks staff members for their opinions about each one
Delegates to staff responsibility for selecting a new nursing care delivery system
All personnel should wear protective clothing, including a gown, gloves, and respiratory protection.
Clients exposed to anthrax should immediately remove contaminated clothing and place it in the hamper.
Clients should be instructed to wash thoroughly with soap and water.
Access to the area should be restricted.
Lumbar spinal cord injury and lower extremity paralysis.
Maxillofacial injury and gurgling respirations.
Severe head injury and no blood pressure.
Second-trimester pregnancy in premature labor.
Conduct performance evaluations in a group setting so input from peers and subordinates influences evaluation of a staff member's effectiveness.
Provide feedback on strengths as well as areas for improvement and clarify what she expects the staff member to accomplish before the next performance evaluation.
Provide written documentation of areas for improvement. Areas of strength needn't be documented because these areas are complimentary and don't describe actions the staff member must take to improve.
Whenever possible, delegate responsibility for conducting performance evaluations to primary nurses to help them achieve professional growth.
Laterally, from the center to the opposite side
From top to bottom
In a circle around the drain, outward from the center
In a circle around the drain, from the outer border to the center
Place the client in a prone position.
Approach the client from the left side.
Encourage deep breathing and coughing.
Discourage bending down.
Orient the client to his environment.
Administer a stool softener.
Liquid or semiliquid stools.
Hard, brown, formed stools.
Loss of urge to defecate.
From directly in front of the client
From the right side of the client
From the left side of the client
From directly behind the client
Perform gentle passive range-of-motion exercises.
Gently massage the painful joints.
Use a bed cradle to keep linens from pressing on the child's joints.
Encourage the child to change position in bed every 2 hours.
Duty, breach of duty, damages, and causation
Duty, damages, and causation
Duty, breach of duty, and damages
Breach of duty, damages, and causation
Instructions on when and how to implement the living will
Who may uphold a living will declaration
How long the living will remains in effect
What will happen to the client's valuables after his death
Documenting that the client is resting quietly and denies pain
Calling a family member to obtain information about the client
Giving the client the ordered as-needed pain medication
Checking vital signs and assessing for nonverbal indications of pain
Avoid using cornstarch on the feet.
Avoid wearing canvas shoes.
Avoid using a nail clipper to cut toenails.
Avoid wearing cotton socks.