A nurse is teaching a newly licensed nurse about professionalism. The nurse should include that which of the following demonstrates unprofessional behavior by a nurse?

Confirming that a client appears competent to consent to a surgical procedure.

Verifying that a client voluntarily gave consent to a surgical procedure.

Witnessing a client consent for a surgical procedure.

Explaining the steps of a surgical procedure to a client.

Answer and Explanation

The Correct Answer is D

A.   This is a professional and important action. Ensuring that a client is competent to consent means that the nurse is verifying that the client understands the nature, purpose, risks, and benefits of the procedure. Competence to consent is a legal and ethical requirement, and it is part of the nurse’s role to support and facilitate the informed consent process.
B.   This is also a professional and necessary action. It involves checking that the client’s consent is given freely, without coercion or undue pressure. This step ensures that the consent is valid and ethical. It is part of the nurse's responsibility to ensure that the consent process respects the client's autonomy.
C.   The nurse as a witness is there to observe that the consent is signed by the client and that the client understands what they are consenting to. However, the nurse should not be the one explaining the procedure or the risks involved unless they are specifically trained and authorized to do so.
D.   This is generally not considered professional behavior for a nurse unless they have specific training and authorization to provide detailed information about surgical procedures. Typically, detailed explanations of the procedure are provided by the surgeon or a qualified healthcare provider.

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Correct Answer is ["A","B","D","E"]

Explanation

A. A case manager coordinates and manages the overall care of the client, particularly when there are multiple healthcare needs or transitions in care. Given that the client has just experienced a CVA, the case manager could be crucial in coordinating care, arranging for additional services, and ensuring continuity of care, especially since the client lives alone.
B. The client is experiencing wheezing in the upper lobes of the lungs and is receiving supplemental oxygen. A respiratory therapist would be instrumental in evaluating and managing the client's respiratory status, including optimizing oxygen therapy and addressing any issues related to asthma or lung function.
C. There is no mention of diabetes in the client's history or current symptoms. The focus of the client's care is on managing the effects of the CVA and respiratory issues. Therefore, a referral to a diabetes nurse educator is not indicated based on the provided information.
D. The client has flaccid extremities with decreased muscle tone and strength following the CVA. A physical therapist would be essential for assessing and providing therapy to improve mobility, strength, and function in the affected extremities. This referral is appropriate for addressing the physical impairments resulting from the CVA.
E. The client is having difficulty with self-feeding due to decreased muscle tone and strength, which impacts daily activities. An occupational therapist can help with adaptive techniques and strategies for self-care tasks, such as feeding, and provide interventions to improve the client’s ability to perform daily activities independently. This referral is appropriate for addressing functional challenges related to the CVA.
F. An enterostomal therapy nurse specializes in wound care, ostomy management, and incontinence care. There is no indication in the provided information that the client has any issues related to wounds, ostomies, or incontinence. Therefore, a referral to an enterostomal therapy nurse is not indicated based on the current information.

A. The client urine output has been 50 mL since surgery. B. The client's pain level has decreased since the administration of morphine. C. Serosanguineous drainage noted on the abdominal dressing. D. Postoperative laboratory results are Hgb 15% and Hct 40%.

Correct Answer is A

Explanation

A. A urine output of less than 30 mL/hour is considered oliguria and is a critical finding that requires immediate notification to the provider. It could indicate potential complications such as dehydration, hypovolemia, or renal impairment.
B. While pain management is important, a decrease in pain is expected after administering morphine. This is not a critical finding that requires immediate notification to the provider.
C. A small amount of serosanguineous drainage is expected in the early postoperative period. It would only be a concern if the drainage was excessive, bright red, or increasing in amount.
D. Postoperative laboratory results are Hgb 15% and Hct 40% are within normal ranges and do not require immediate notification to the provider.

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A nurse is teaching a newly licensed nurse about professionalism. The nurse should include that which of the following demonstrates unprofessional behavior by a nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client. Exhibits For which of the following interprofessional team members should the nurse anticipate a provider's referral? (Select all that apply).

Correct Answer is ["A","B","D","E"]

Explanation

A nurse is caring for a client who is 3 hr postoperative following abdominal surgery. Which of the following assessment data should the nurse report to the provider?

Correct Answer is A

Explanation

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