A resident in a skilled nursing facility for a short term rehabilitation following a hip replacement says to the nurse, "I don't want to have you draw any more blood for those useless tests." When the nurse fails to convince the patient to have the blood drawn, the most appropriate documentation would be:
"Refuses to have blood drawn. Doctor notified."
Doctor notified of failure to draw ordered blood work.
"Blood not drawn because tests are no longer desired by patient."
"Refuses to have blood drawn; says tests are 'useless.' Doctor notified."
The Correct Answer is D
A. "Refuses to have blood drawn. Doctor notified."
This option documents the patient's refusal but lacks specific information about the patient's reason for refusal, which is important for the care team to understand the context.
B. "Doctor notified of failure to draw ordered blood work."
This option focuses more on the failure to draw blood than on the patient's specific refusal and reasoning. It lacks information about the patient's perspective, which can be crucial for understanding their decision-making process.
C. "Blood not drawn because tests are no longer desired by the patient."
This choice provides a clear reason for not drawing blood (the patient's refusal) and includes the patient's perspective on the tests being 'useless.' However, it does not mention the action taken, such as informing the doctor, which is important for continuity of care.
D. "Refuses to have blood drawn; says tests are 'useless.' Doctor notified."
This option combines both the patient's refusal and their reason ('useless' tests) for refusing. Additionally, it includes the action taken, which is informing the doctor. This choice offers a comprehensive and informative description of the situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["4"]
Explanation
To calculate the number of 40mg capsules needed for a 2-grain dose, you need to convert grains to milligrams since the supply is given in milligrams (mg).
1 grain is approximately equal to 64.8 milligrams.
Now, let's calculate:
2 grains * 64.8 mg/grain = 129.6 mg
So, the nurse would give 129.6 milligrams of the medication. Since the supply is in 40mg capsules, you'll need to divide the total dose by the amount in each capsule to determine the number of capsules needed:
129.6 mg / 40 mg/capsule ≈ 3.24
Since you can't give a fraction of a capsule, the nurse would give 4 capsules to achieve a dose of approximately 129.6 milligrams.
Correct Answer is ["A","B","C"]
Explanation
A. Changing a surgical dressing: This is an example of a nursing implementation. Nurses frequently change dressings as part of their patient care responsibilities.
B. Return demonstration by the patient: This is also an example of a nursing implementation. Nurses often educate patients and then assess their understanding through return demonstrations to ensure the patient can perform tasks correctly at home.
C. Changing an ostomy bag: This is another example of a nursing implementation. It involves hands-on care for patients with ostomies, a responsibility often carried out by nurses.
D. Planning patient outcomes: While planning patient outcomes is crucial for nursing care, it falls more under the category of nursing interventions and nursing process rather than direct implementations.
E. Analyzing assessment data: Analyzing assessment data is part of the nursing process and helps in making decisions about nursing care. While it's essential, it's not a direct implementation action.
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