A nurse in a long-term care facility is caring for a client who reports the assistive personnel repositioned him in bed using excessive force. Which of the following actions should the nurse take?

Contact the nurse manager.

Call risk management to interview the client.

Reassure the client that the staff is well trained.

Document in the client's chart that an incident report has been filed.

Answer and Explanation

The Correct Answer is A

A.   Contacting the nurse manager allows for immediate notification of the incident to someone in authority who can initiate appropriate follow-up and investigation.
B.   Involving risk management might be necessary but should come after informing the immediate supervisor or manager.
C.   Reassuring the client, while important, should not be the primary action; addressing the issue and initiating appropriate steps should take precedence.
D.   Documenting the incident report in the client's chart is important but should follow the immediate notification of the supervisor or manager.

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Correct Answer is B

Explanation

A. Withholding the opioid may lead to inadequate pain relief, which isn't the best approach, especially in a terminally ill patient experiencing severe pain.
B. Continuing the medication dosages that relieve pain is important for the client's comfort, even if it causes somnolence.
C. Contacting the provider to consider an NSAID might be an option, but immediate relief should not be compromised while awaiting a change in medication.
D. Withholding the benzodiazepine might be considered if the sedation is excessive, but prioritizing pain relief is crucial in end-of-life care unless there are severe adverse effects.

A. Prepare to administer antibiotics to the client. B. Wear an N95 respirator mask while caring for the client. C. Plan to administer an antiviral medication to the client. D. Place a surgical mask on the client during transfer to the unit.

Correct Answer is A

Explanation

A. Cutaneous anthrax is typically treated with antibiotics such as ciprofloxacin, doxycycline, or penicillin, making preparation to administer antibiotics the appropriate action.
B. While respiratory precautions might be necessary in cases of inhalational anthrax, cutaneous anthrax does not typically require the use of an N95 respirator mask.
C. Antiviral medications are not the standard treatment for cutaneous anthrax; antibiotics are the primary treatment.
D. Placing a surgical mask on the client during transfer might not be necessary for cutaneous anthrax exposure, as the mode of transmission is not through respiratory droplets.

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A nurse in a long-term care facility is caring for a client who reports the assistive personnel repositioned him in bed using excessive force. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A hospice nurse is caring for a client who has a 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?

Correct Answer is B

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Correct Answer is A

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