13) A nurse is caring for a client who is unconscious and whose partner is their health care surrogate. The partner wishes to discontinue the client’s feeding tube, but another family member tells the nurse that they want the client to continue receiving treatment. Which of the following responses should the nurse make?

“You should contact the provider about your wishes for your family member”

“You should speak with the facility’s ethics committee about your concerns

“We’ll need to have the nursing supervisor review the client’s advance directives”

“As the health care surrogate, the client’s partner can make this decision

Answer and Explanation

The Correct Answer is D

a.   “You should contact the provider about your wishes for your family member”: While involving the provider is essential, it doesn’t directly address the conflicting wishes between the partner and the family member.
b.   “You should speak with the facility’s ethics committee about your concerns”: While acknowledging the need for ethical guidance, this option may not be the most immediate step.
c.   “We’ll need to have the nursing supervisor review the client’s advance directives”: Although reviewing advance directives is crucial, it doesn’t directly address the current disagreement.
d.   “As the health care surrogate, the client’s partner can make this decision”: This response recognizes the legal authority of the health care surrogate (partner) to make decisions on behalf of the unconscious client. It aligns with established principles.

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Correct Answer is B

Explanation

Rationale for A: The abbreviation "MS" is not recommended for use in prescriptions because it can be confused with magnesium sulfate or morphine sulfate. This can lead to medication errors, making this option unsafe for transcription.

Rationale for B: This prescription is the correct choice because it clearly spells out "morphine sulfate," avoiding any potential confusion with similar abbreviations. It also uses the appropriate dosage and frequency without unnecessary trailing zeros, reducing the risk of errors.

Rationale for C: The abbreviation "MSO4" is considered dangerous because it can be confused with magnesium sulfate (MgSO4). Additionally, using abbreviations in prescriptions can lead to misinterpretation and medication errors.

Rationale for D: Although this option spells out "morphine sulfate," it uses a trailing zero in "10.0 mg," which can be misinterpreted as a higher dose, such as 100 mg. Trailing zeros should be avoided to prevent potential overdose.

A. The AP wears a surgical mask when caring for a client who has respiratory tuberculosis B. The AP uses alcohol-based hand sanitizer after emptying the bedpan of a client who has Clostridium difficile C. The AP bundles the clean side of linen inward when changing the sheets for a client who has an infected surgical wound D. The AP removes her gloves before leaving the room of a client who has MRSA

Correct Answer is D

Explanation

A. A surgical mask is insufficient for caring for a client with respiratory tuberculosis; an N95 respirator should be worn to protect against airborne transmission.

B. Alcohol-based hand sanitizer is ineffective against Clostridium difficile spores. Handwashing with soap and water is essential to eliminate the spores and prevent transmission.

C. While bundling linens correctly helps minimize contamination, the action does not pertain to infection control precautions relevant to the scenario.

D. Removing gloves before leaving the room of a client with MRSA is appropriate as it helps prevent cross-contamination and the spread of infection to other areas of the facility. Proper disposal and hygiene practices should always be followed after contact with potentially infected surfaces.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is receiving a verbal prescription from the provider for a client who is having increased pain. The nurse should transcribe which of the following prescriptions in the client’s medical record?

Correct Answer is B

Explanation

A nurse on a medical-surgical unit is evaluating an assistive personnel’s (AP) use of infection control precautions. Which of the following actions by the AP indicates correct use of the precautions?

Correct Answer is D

Explanation

To resolve a conflict between staff members regarding potential changes in policy, a nurse manager decides to implement the changes she prefers regardless of the feelings of those who oppose those changes. Which of the following conflict resolution strategies is the nurse manager using?

A nurse in a clinic is reviewing laboratory reports for a group of clients. Which of the following diseases should the nurse report to the state health department?

A nurse is preparing a client for surgery. The client has signed the consent form but tells the nurse that she has reconsidered because she is worried about the pain. Which of the following responses by the nurse is appropriate?

A nurse is assessing an older adult client who was brought to the emergency department by his adult son, who reports that the client fell at home. The nurse suspect's elder abuse. Which of the following actions should the nurse take?

A nurse is comparing the rate of medication errors on the medical unit to the rate from a medical unit in a magnet hospital. Which of the following quality improvement methods is the nurse using?

A nurse is providing change-of-shift report for an oncoming nurse. Which of the following information should the nurse include in the report?

A hospice nurse is caring for a client who has terminal illness and reports severe pain. After the nurse administers the prescribed opioid and benzodiazepine, the client becomes somnolent and difficult to arouse. Which of the following actions should the nurse take?

14) A nurse is preparing to discharge a client who has end- stage heart failure. the client's partner tells the nurse she can no longer handle caring for the client. which of the following actions should the nurse take?