Nurse practitioner assignment

I’m stuck on a Nursing question and need an explanation.

Critical Thinking Questions Chapters 22- 25

Instructions

1. A student nurse is assisting a nurse practitioner in the clinic today. The student’s assignments include escorting patients to the examination room; obtaining height, weight, and vital signs; assessing the level of consciousness; documenting current medications; and asking a few simple questions regarding the reason for the clinic visit. The third patient this morning has been very quiet throughout the assessment even as the student attempts to put the patient at ease. When the student asks why the patient has come to the clinic, the patient is nonverbal. What should the student do?

2. The hospital’s unit secretary prepares a patient chart, transcribes orders, prepares lab slips and x-ray requests, and fills out consent forms. When the patient is admitted, an RN signs the forms. However, the secretary made an error when transcribing the order and the patient is prepped for the incorrect diagnostic testing. Who is responsible?

3. A nurse is reviewing the latest lab results for a 44-year-old patient admitted with fever of unknown origin (though meningitis was ruled out). The lab slip indicates that the patient’s white blood cell count is elevated. The nurse calls the physician’s office to discuss the lab results, but the office is closed and the nurse is asked to leave a voicemail message. What should the nurse do?

4. An 81-year-old female is brought to the emergency department by ambulance from an assisted-living facility. An hour after supper she began feeling short of breath and exhibited a short shrill sound with each inspiration. For the past couple of days she had been complaining of numbness in both hands that “seems to be getting worse.” During the assessment, the student nurse noted there was involuntary facial muscle twitching. The patient’s medications were reviewed. When the student asked if she took anything else, the patient said, “Yes, a teaspoon of baking soda in a glass of water after meals. It seems my heartburn has been getting worse and the baking soda really helps. I don’t like to take medicine.” The physician asked to review the medication list when the assessment was completed. The student wondered if baking soda was a medication and if it should be placed on the list.

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