After Shift Change the Nurse Discovers That a Client's IV

question 31

Multiple Choice

After shift change the nurse discovers that a client's IV heparin has been turned off at the IV controller. The amount of fluid left in the IV bag indicates that the client received half of the dose ordered. Which statement should be documented in the client's medical record?

• A) IV heparin restarted. Physician notified. Client's vital signs unchanged.
• B) IV heparin restarted at a rate to catch up dosage accidentally deleted.
• C) IV heparin turned off by previous shift. Restarted.
• D) IV heparin restarted and incident report completed.

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Definitions:

Norm-Governed Behaviour

Actions or behaviors that are regulated by the norms or rules of a society or group, ensuring compatibility and cohesion within the group.

Collective Action

Activities or efforts undertaken by a group of people with the aim of achieving a common goal.

Deindividuation

This refers to a psychological state where individuals within a group lose self-awareness and the sense of individuality, leading to uninhibited and sometimes antisocial behavior.

Free-Rider Effect

A situation in group settings where individuals benefit from the effort of others without contributing themselves, leading to potential underperformance of the group.