Ms Dittmer has atrial fibrillation which Is being treated with digoxin 0.25 mg daily.  The only tablets that are available are 62.5 micrograms..  As the EN, you are preparing to give Ms Dittmer her dose. You check her pulse, which is 48 bpm.  What are the appropriate steps?Medicines Management Policy 2018 - click hereSelect one:a. Inform the RN of the pulse then give Ms Dittmer the digoxin with out an independent second checker.b. Make a note of the pulse on the prescription chart and observation record, inform the RN of the findings. RN may choose to reassess Ms Dittmer and if the findings are the same, withhold the medication document on the prescription chart, in the medical record, and inform the prescriberc. Make a note of the pulse on the prescription chart and observation record, inform the RN of the findings. RN may choose to reassess Ms Dittmer and if the findings are the same, administer the medication using an independent double checker.d. Tell the RN about Ms Dittmer pulse and ask the RN to administer the medication independently, with a note in the medical record of your actionse. Give Ms Dittmer her medication, remembering to let the RN know of the pulse at handover, documenting in the medical record and on the prescription chart

Answer with True or False.As EN you have been delegated to care for Ms Dittmer with her uncontrollable pain, warfarin that requires titration and her pulse is 48. Due to the complexity of the patient and the unknown cause of her uncontrollable pain the EN able to decline the delegation of care for Ms Dittmer?Medicines Management Policy - cick hereSelect one:TrueFalse

Georgie Dittmer is one of a group of patients the registered nurse (RN)/registered midwife (RM) is being handed over for the first time. The enrolled nurse (EN) who is working in partnership with the RN/RM has been caring for Ms Dittmer for the last 3 days. The EN has been administering all of Ms Dittmer's medicines for the last 3 days. What are the responsibilities of the RN in regards to the EN administering Ms Dittmer's medicines?Medicine Management Policy - click hereSelect one:a. No assessment is required by the RN/RM, the EN can continue administering medicinesb. The RN/RM must complete a full assessment of Ms Dittmer and if there has been no change in her condition over the last 24 hours RN/RM may delegate full care to the ENc. The RN/RM will have to take over the administration of Ms Dittmer's medicines.d. No assessment of Ms Dittmer is required due to EN's not being permitted to administer medicines at Waikato DHBe. The EN must check all medicines first with the RN/RM, who need to sign verification as a second checker on the national medication chart  prior to administration

The patient has been receiving Digoxin 0.25 mg per day to regulate his heart rate. Which of the following outcomes would indicate that this medication is achieving its desired effect?*1 pointa. Improved appetite.b. Increased pedal edema.c. Increased urine elimination.d. Improved bowel elimination.

Ms Dittmer has been requesting regular paracetamol for abdominal pain.  Her pain score has consistently remained high. What do you do as the EN?Medicine Management Policy 2018 - click hereSelect one:a. As the EN there is no need to complete a full assessment of Ms Dittmer. But using the SBARR tool discuss with your RN/RM partner the situation.b. Give an extra dose of paracetamol, just once won't matterc. As the EN , using the SBARR tool discuss with your RN/RM partner the situation. Together in partnership perform a full patient assessment and plan a way forward in managing Ms Dittmer's pain managementd. Nothing, Ms Dittmer is not permitted any further pain reliefe. Call the prescriber and have new pain medicine prescribed.  No need to discuss with RN/RM partner

The nurse checks the laboratory result for a serum digoxin level that was determined for a client earlier in the day and notes that the result is 2.4 ng/Ml.  Which of the following is the most important action on the part of the nurse? *1 pointA. Notify the physicianB. Check the client’s last pulseC. Record the normal value on the client’s flow sheetD. Administer the next dose of the medication as scheduled.