The sterile water rinsing prevents contamination of specimen with the antiseptic solution

The use of sterile water allows for better infection control

The sterile water rinse promotes cleansing the perineum

The sterile water decreases the incidence of pseudomonas in the sample

The nurse should review suctioning techniques with the nurse

The nurse manager should contact the Healthcare Provider to order lidocaine to be administered prior to suctioning

The nurse manager does not need to address the situation because bronchospasm is common with suctioning

The nurse should first review the client care record to see if bronchospasm was a previous concern

The nurse manager will report the senior nurse to the appropriate regulatory nursing body

The nurse manager will determine if the senior nurse is certified to perform the skill

The nurse manager will educate the nursing student on the standard scope of nursing practice

The nurse manager will need to discipline the senior nurse for practicing out of scope

A client lying flat in bed with reports of nausea

A client reporting shortness of breath when ambulating

A client with suspected alcohol misuse that has vomited twice

A client with suspected cocaine misuse that requests pain medication

Hypo-active bowel sounds in all 4 quadrants

The client has not yet voided post-surgery

"It is important to maintain a healthy diet to minimize the need for this drug"

"This medication helps to reduce my cholesterol level"

"There is a possibility I will experience mild constipation and bloating while I am taking this medication"

"I should take this medication at the same time each morning with my other daily medications"

The nurse should advocate for education on medication safety and the proper storage and disposal of opioid medications

The nurse should engage policymakers within the health region to provide more funding for education and client care

The nurse should advocate for naloxone training for all first responders in the community

The nurse should prioritize educational programs for opioid use for youth and young adults in the community

Hallucinations 

Dizziness

Sudden uncontrolled movements