1) During change of shift report, a nurse discovers she overlooked a prescription for a type and cross-match of a client who is to have surgery the next day. Which of the following actions should the nurse take first?

Inform the provider of the delay in obtaining the type and cross-match

Obtain the client's type and cross match.

Document the incident in the client's medical record

Prepare an incident report for risk management.

2)  A nurse is caring for a 2-day-old newborn who was born at 35 weeks of gestation. Which of the following actions should the nurse take?

A.Administer nitric oxide inhalation therapy to the newborn

B.Insert an orogastric decompression tube with low wall suction.

C.Provide the newborn with an iron-rich formula containing vitamin B12 every 2 hr.

D.Measure the abdominal circumference at the level of the newborn’s umbilicus every 2 hr.

 

Answer:

1.

During change of shift report,a nurse discovers she overlooked a prescription for a type and crossmatch of a client,who is having surgery the next day,the nurse should take the following action first

That is she should inform the provider as soon as possible in obtaining the type and cross match,so there will be no risk for the client and also there will be no delay in preparation of surgery.

So Answer is option "A"

"INFORM THE PROVIDER OD DELAY IN OBTAINING TYPE AND CROSS MATCH"

Remaining options are not correct to take as first action by the nurse,because they don't reverse the situation and may leads to risk for the client and there are chances for delay of client's surgery.

So at this situation option "A" is correct,remaining options are not correct for this situation.

2.

A nurse is caring for a 2-day-old newborn who was born at 35 weeks of gestation. Which of the following actions should the nurse take?

A. Administer nitric oxide inhalation therapy to the newborn (As the new born may suffer from respiratory problems due to premature delivery. Based on evidence based practice this is the desired medical intervention)