A nurse is caring for a client who states, "I am leaving this hospital because I'm frustrated with my therapy." Which of the following actions should the nurse take?

Arrange for the client to speak with other clients who are undergoing the same therapy.

Ask the provider to speak with the client in person regarding their plan of care.

Explain to the client that no additional treatment will be provided if they choose to come back.

Tell the client that they cannot leave without a discharge prescription from their provider.

Answer and Explanation

The Correct Answer is B

A. While connecting the client with others may provide support, it does not directly address the client’s frustrations or concerns about their therapy.
B. Asking the provider to speak with the client directly can facilitate communication about their concerns and may help address their frustrations regarding the plan of care.
C. Threatening the client with consequences for leaving is not appropriate and may increase their frustration and disengagement from care.
D. It is important to respect the client’s autonomy and right to leave, so informing them they cannot leave is not appropriate or legal without proper discharge procedures being followed.

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Correct Answer is B

Explanation

A. Informing the charge nurse of the need to reassign the client’s care is unnecessary unless the nurse is unable to provide safe and competent care for the transfusion.
B. Obtaining informed consent is essential before a blood transfusion to ensure the client is aware of the procedure's purpose, benefits, and potential risks.
C. Delegating the client's care to another RN may be appropriate if the nurse lacks competence with transfusions, but obtaining consent is a priority.
D. Accessing the nursing information system for transfusion guidelines is helpful, but obtaining consent takes precedence before proceeding with the transfusion.

A. Provide postmortem care for a client who died 1 hr ago. B. Reinforce discharge instructions with a client who is 2 days postoperative following an appendectomy. C. Interpret deviations in a client's vital signs. D. Insert an NG tube for a client who has difficulty eating.

Correct Answer is A

Explanation

A. Providing postmortem care is a task that can be delegated to assistive personnel, as it involves following established protocols and does not require clinical judgment.
B. Reinforcing discharge instructions requires clinical knowledge and assessment, making it inappropriate for delegation to an AP.
C. Interpreting deviations in a client's vital signs necessitates nursing judgment and clinical expertise, which an AP does not possess.
D. Inserting an NG tube is a skilled nursing procedure that requires assessment and decision-making, thus it should not be delegated to an AP.

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A nurse is caring for a client who states, "I am leaving this hospital because I'm frustrated with my therapy." Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse receives change-of-shift report and learns that one of their assigned clients is scheduled to receive a blood transfusion. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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