Nurses on the Dialysis Unit Notice That Changes in Labeling

question 9

Multiple Choice

Nurses on the dialysis unit notice that changes in labeling of fluids have meant several alarming near misses in terms of wrong administration of fluids.They take this concern to the unit manager.As an advocate of nurse autonomy,the most appropriate response in this situation would be to:

• A)Ensure that the nurses are aware of the reasons for the change and how the decision was made about the new labels.
• B)Discuss concerns about the labels and develop potential solutions that take into account changes that can be made at the local level and those that need system intervention.
• C)Suggest that the staff wait until they have become more familiar with the labels before taking further action.
• D)Tell the staff that you will notify the pharmacy about these concerns and leave it up to the pharmacy to decide what should be done.

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Definitions:

Upper-Airway Blockage

A medical emergency where the airways are obstructed, leading to reduced or complete stoppage of airflow.

Insomnia

A sleep disorder characterized by difficulty falling asleep, staying asleep, or experiencing restorative sleep.

Sleep Terror Disorder

Disorder of arousal in which the individual screams, sweats, and has a racing heart during NREM sleep; the person cannot be easily wakened and usually does not remember the episode on awakening.

Nightmare Disorders

A sleep disorder characterized by frequent and vivid nightmares, often resulting in distress or impairment in social or occupational functioning.