A nurse is caring for a client who is scheduled for surgery. While the nurse is witnessing the client's signature, the client states, "I trust my doctor, but I don't understand what is meant by resecting my intestines." Which of the following actions should the nurse take?

Notify the provider.

Describe the surgery to the client.

Provide brochures about the procedure.

Complete an incident report.

Answer and Explanation

The Correct Answer is A

Choice A reason:
The client has expressed a lack of understanding about the procedure, which indicates that they may not have received sufficient information or clarification. It is important to notify the provider so they can ensure the client fully understands the procedure before giving informed consent.
Choice B reason:
The nurse should provide basic information and answer questions within their scope, but detailed explanations about the procedure are best provided by the provider who is performing the surgery.
Choice C reason:
While brochures can be helpful, they do not replace the need for direct, clear communication with the healthcare provider about the specific details of the surgery.
Choice D reason:
An incident report is not necessary in this context as the situation is related to informed consent and not an error or safety issue.

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Correct Answer is B

Explanation

Choice A reason:
Needing a new hearing aid every year is not accurate. Hearing aids are not typically replaced annually unless there is a specific issue or significant changes in hearing.
Choice B reason:
"I should gradually increase the time that I wear the hearing aid. “This statement indicates an understanding of the appropriate approach to adapting to a new hearing aid. Gradually increasing the time spent wearing the hearing aid allows the individual to acclimate to the new sounds and avoid overwhelming the auditory system. Starting with shorter periods of use and gradually extending the time can help improve comfort and effectiveness.
Choice C reason:
Leaving the battery in the hearing aid when not in use can lead to battery drain and potential damage. It's important to remove the battery when the hearing aid is not being used.
Choice D reason:
Turning the hearing aid up to the highest volume immediately after insertion is not appropriate. Starting at a lower volume and gradually adjusting as needed is a more appropriate approach to prevent discomfort or potential damage to the ears.

A. Place the wasted portion of the controlled substance in the sharp container. B. Ask a second nurse to record her signature when wasting any unused portion of the controlled substance. C. Verify the count total of the controlled substance after removing the amount needed. D. Report any discrepancy in the count total of the controlled substance after administration.

Correct Answer is C

Explanation

Choice A reason:
Placing the wasted portion of the controlled substance in the sharp container is not correct. Wasted controlled substances should be disposed of according to specific regulations and facility protocols.
Choice B reason:
Asking a second nurse to record her signature when wasting an unused portion of the controlled substance is not a standard practice. The process for wasting controlled substances usually involves following specific documentation procedures, but this does not necessarily require a second nurse's signature.
Choice C reason:
Verifying the count total of the controlled substance after removing the amount needed is the appropriate action. When administering a controlled substance, it is crucial to maintain accurate accountability of the medication. This includes verifying the count total of the controlled substance before and after removing the amount needed for administration. This step helps ensure proper documentation, prevent errors, and maintain appropriate control over controlled substances.
Choice D reason:
Reporting any discrepancy in the count total of the controlled substance after administration is important, but it should be done as a separate step from verifying the count total before administration. Discrepancies should be reported according to facility policy to ensure proper investigation and resolution.

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A nurse is caring for a client who is scheduled for surgery. While the nurse is witnessing the client's signature, the client states, "I trust my doctor, but I don't understand what is meant by resecting my intestines." Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has a newly prescribed hearing aid. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is preparing to administer a controlled substance to a client for pain management. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is preparing to perform a physical assessment of a client's abdomen. Identify the sequence in which the nurse should perform the following steps. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

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