A nurse is caring for a client who refuses a blood transfusion. Which of the following actions should the nurse take?

Inform the client that the transfusion is mandatory.

Document the client's refusal in the medical record.

Notify risk management about the client's refusal.

Suggest that the client explore alternative therapies.

Answer and Explanation

The Correct Answer is B

A) Inform the client that the transfusion is mandatory: This approach is not appropriate, as it disregards the client's autonomy and right to make informed decisions about their own healthcare. Patients have the right to refuse treatment, including blood transfusions.

B) Document the client's refusal in the medical record: This is the correct action. It is essential to document the client's decision thoroughly, including the discussion surrounding the refusal and any information provided about the risks and benefits of the transfusion. This documentation protects both the client and the healthcare team.

C) Notify risk management about the client's refusal: While it may be necessary to inform risk management in certain cases, it is not a standard procedure for all refusals of treatment. The focus should be on respecting the client's wishes first and ensuring proper documentation.

D) Suggest that the client explore alternative therapies: While it is important to provide clients with information about their options, suggesting alternative therapies should not take precedence over respecting the client's decision. Instead, the nurse should ensure the client is fully informed about the implications of their refusal and provide support in understanding their choices.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A) Educating clients about maintaining a low-cholesterol diet is a form of primary prevention aimed at reducing risk factors for chronic diseases, but it does not directly address individuals already diagnosed with Parkinson's disease. This intervention focuses more on general health rather than managing an existing condition.

B) Providing screenings for early manifestations of Parkinson's disease represents secondary prevention, as it aims to identify the disease at an early stage to allow for timely intervention. However, this option does not apply to clients who already have Parkinson's disease, thus it is not a tertiary prevention strategy.

C) Educating clients about techniques used to diagnose Parkinson's disease is informative but primarily falls under secondary prevention. It pertains to awareness rather than actively managing the condition in those already diagnosed.

D) Providing daily exercise classes to improve ambulation for clients who have Parkinson's disease is a tertiary prevention strategy. This intervention focuses on rehabilitation and improving the quality of life for individuals already diagnosed with the disease, aiming to manage symptoms and prevent further complications associated with Parkinson's disease.

A. Determine the need for additional providers. B. Act as a spokesperson to provide information to the media. C. Decide which clients should be transported for a higher level of care. D. Recommend to the provider a list of clients for early discharge.

Correct Answer is D

Explanation

A. Determine the need for additional providers: While nurses can assess patient needs, determining the need for additional providers is typically a responsibility of management or command staff in a disaster situation.

B. Act as a spokesperson to provide information to the media: This role is generally assigned to a designated communications officer or public relations personnel, not a unit nurse, as media interactions require specific training and authorization.

C. Decide which clients should be transported for a higher level of care: This decision usually involves a multidisciplinary team and is not solely the responsibility of a unit nurse. It often requires input from physicians and administrative personnel.

D. Recommend to the provider a list of clients for early discharge: This is a responsibility that falls within the scope of a unit nurse's duties during a disaster. Nurses can assess their patients' conditions and recommend which patients may be stable enough for early discharge to make room for more critical cases.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a client who refuses a blood transfusion. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning a community health program about Parkinson's disease. Which of the following interventions should the nurse include as a tertiary prevention strategy?

Correct Answer is D

Explanation

A nurse manager on an interprofessional team is creating a disaster plan. The nurse should include in the plan that which of the following actions is the responsibility of the unit nurse during a disaster?

Correct Answer is D

Explanation

A nurse is caring for a 30-month-old child. Which of the following activities should the nurse expect the child to participate in?

A nurse is providing discharge teaching to a new parent about breastfeeding her infant. Which of the following statements should the nurse make?

A nurse is caring for a client who is recovering from a cerebrovascular accident in a rehabilitation facility. The client tells the nurse, "I am sick of being in here, and I want to go home." Which of the following responses should the nurse make?

A newly licensed nurse working at an HIV clinic is reviewing the responsibilities of her position at the clinic. Which of the following tasks should the nurse identify as tertiary prevention?

A nurse is observing a newly licensed nurse who is administering total parenteral nutrition (TPN) to a client. Which of the following actions by the newly licensed nurse indicates a need for the nurse to intervene?

A nurse is contributing to the plan of care for a client who has multiple sclerosis. The nurse should recommend including which of the following interventions in the plan of care to assist the client in overcoming barriers related to this condition?

A nurse is caring for a client who has an NG tube with intermittent suction. Which of the following actions should the nurse take?

A nurse is verifying a record of informed consent for a client who is scheduled for surgery. Which of the following actions should the nurse take?