Medicare as Secondary Payer: The patient is 50 and disabled and has Medicare and an employer-sponsored group health plan that covers 50 employees. Billing order:

Anurse is teaching a client who has a new prescription for nitroglycerin patches. the nurse should identify which of the following statements as an indication that the client understands the teaching? a. “i will move the patch to my leg if i get a headache.” b. “i will rotate the application site to avoid skin irritation.” c. “i will apply a new patch if i have chest pain.” d. “i cannot take a sublingual tablet of nitroglycerin after applying the patch.”

Acharge nurse is observing a newly licensed nurse provide care to a group of clients. which of the following actions by the newly licensed nurse requires an incident report by the charge nurse? a. a client who has a lithium level of 1.8 meq/l receives her morning dose of lithium. b. the nurse administers ondansetron to a client who has two episodes of vomiting after receiving meperidine 75 mg im. c. the nurse requests a higher dose of morphine for a client who reports severe pain 30 min after receiving morphine 2 mg iv bolus. d. a client who has a blood glucose level of 120 mg/dl receives her morning dose of insulin.

Anurse recently administered filgrastim intravenously to a client who has cancer and is receiving cytotoxic chemotherapy. for which of the following data, discovered after the medication was administered, should the nurse consider filling an incident report? a. the client had chemotherapy 12 hr before the medication was administered. b. the nurse flushed the client’s iv line with d5w before and after the medication was administered. c. the client’s absolute neutrophil count was 2,500/mm^3 before the medication was administered. d. the medication vial sat at the room temperature for 2 hr before it was administered.