A charge nurse is speaking with the partner of a client. The partner states that the client is not receiving adequate care. Which of the following actions should the charge nurse take first to resolve the situation?

Evaluate the changes the partner requests.

Review the client's plan of care.

Analyze other reports of poor care to look for trends,

Ask the partner to list specific concerns.

Answer and Explanation

The Correct Answer is D

A. Evaluate the changes the partner requests: This is incorrect because it is not the first action to take. The charge nurse should first listen to and acknowledge the partner's complaints before evaluating any changes or solutions.

B. Review the client's plan of care: This is incorrect because it is not the first action to take. The charge nurse should first understand what aspects of care are unsatisfactory for the partner and why they feel that way.

C. Analyze other reports of poor care to look for trends: This is incorrect because it is not relevant to this situation. The charge nurse should focus on addressing this specific case of dissatisfaction rather than looking for general patterns or issues.

D. Ask the partner to list specific concerns: This is correct because it shows respect and empathy for the partner and allows for clarification and communication of their expectations and needs. It also helps identify any gaps or misunderstandings in the client's care and facilitates problem-solving and resolution.

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Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"D"}

Explanation

The client is at highest risk for developing hypocalcemia as evidenced by the total calcium level of 8.0 mg/dL (normal range 9.0 to 10.5 mg/dL).

Explanation:

After a total thyroidectomy, there is a risk of hypocalcemia due to potential damage or removal of the parathyroid glands, which regulate calcium levels in the body. The laboratory result indicating a total calcium level of 8.0 mg/dL, which is below the normal range, supports this risk. Hypocalcemia can lead to symptoms such as tingling, muscle cramps, or more severe complications like cardiac arrhythmias if not addressed promptly.

A. Administer epinephrine subcutaneously. B. Place the blood bag in a biohazard bag before discarding. C. Document the reaction in the medical record. D. Infuse 500 ml lactated Ringer's IV.

Correct Answer is C

Explanation

Choice A reason:

Administer epinephrine subcutaneously. This is not the necessary action to be taken. Epinephrine is used to treat severe allergic reactions (anaphylaxis). However, in this case, the client is experiencing a febrile non-haemolytic transfusion reaction, not an allergic reaction.

Choice B reason:

Place the blood bag in a biohazard bag before discarding. This is not the necessary action to be taken by the nurse. Proper disposal of biohazardous materials is essential, but in this situation, the nurse's priority is to address the client's condition and not the disposal of the blood bag.

Choice C reason:

Documentation of the transfusion reaction is crucial for the client's medical history and for future reference. The nurse should record the client's signs and symptoms, the actions taken, and any other relevant information related to the reaction.

Choice D reason

Infuse 500 ml lactated Ringer's IV.This is not necessary action to be taken by the nurse because there is no indication for infusing lactated Ringer's solution in response to the transfusion reaction described. Treatment for febrile non-haemolytic transfusion reactions generally involves stopping the transfusion, administering antipyretics (like acetaminophen) if necessary, and providing supportive care as needed.

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A charge nurse is speaking with the partner of a client. The partner states that the client is not receiving adequate care. Which of the following actions should the charge nurse take first to resolve the situation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is 1 day postoperative following a total thyroidectomy. Exhibits Complete the following sentence by using the lists of options. The client is at highest risk for developing dropdown evidenced by the dropdown.

Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"D"}

Explanation

A nurse is caring for a client who has a prescription for 1 unit of packed RBCs. Five minutes after beginning the transfusion, the client becomes febrile with chills. After stopping the transfusion, which of the following actions should the nurse take?

Correct Answer is C

Explanation

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