At the end of the shift, a nurse enters a crowded elevator and is standing near a client’s health care provider.
Which response of the nurse is most appropriate when the health care provider asks, “How is my client in room 913 doing?”.

“I don’t know because I am off duty now and I think you need to ask the nurse coming on this shift.”.

“That is privileged, confidential information and I can’t discuss it with you now.”.

“Why don’t we step off the elevator to discuss this in a more private area?”.

“The client was stable before I left 30 minutes ago, but had to be restrained for agitation.”.

Answer and Explanation

The Correct Answer is C

The nurse should respect the client’s privacy and confidentiality by not discussing the client’s condition in a crowded elevator, even with the health care provider. The nurse should suggest a more private area to have the conversation.

Choice A is wrong because it shows a lack of professionalism and accountability. The nurse should be able to provide a brief update on the client’s status to the health care provider, even if the nurse is off duty.

Choice B is wrong because it implies that the healthcare provider does not have the right to access the client’s information, which is not true. The health care provider is part of the health care team and has a legitimate need to know the client’s condition.

Choice D is wrong because it violates the client’s privacy and confidentiality by disclosing sensitive information in front of other people. The nurse should not share any details about the client’s condition or treatment without the client’s consent or unless it is necessary for the client’s care.

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Correct Answer is A

Explanation

A toileting routine is the priority intervention for a client diagnosed with total urinary incontinence because it helps to prevent skin breakdown, infection, and odor. It also promotes dignity and comfort for the client.

Choice B. Kegel exercises are wrong because they are not effective for total urinary incontinence, which is the complete loss of bladder control. Kegel exercises are more useful for stress or urge urinary incontinence, which are caused by weak pelvic floor muscles.

Choice C. Surgery is wrong because it is not a priority intervention for total urinary incontinence.

Surgery may be considered a last resort option if other conservative measures fail to improve the condition. Surgery may also have risks and complications that need to be weighed against the benefits.

Choice D. Anticholinergic drug therapy is wrong because it is not a priority intervention for total urinary incontinence.

Anticholinergic drugs are used to treat overactive bladder or urge urinary incontinence, which are caused by involuntary bladder contractions. Anticholinergic drugs may have side effects such as dry mouth, constipation, blurred vision, and confusion.

A. “Would you like me to get you some tissues?”. B. “I see that you’re upset. I’ll come back later.”. C. “I see that you’re crying. Tell me about it.”. D. “How can I help you?”.

Correct Answer is C

Explanation

Tell me about it.” This response by the nurse would best facilitate communication because it acknowledges the client’s emotional state and invites the client to express their feelings.

It also shows empathy and respect for the client.

Choice A is wrong because it does not address the client’s emotional needs or encourage communication.

It also implies that the nurse is uncomfortable with the client’s crying and wants to avoid it. Choice B is wrong because it does not show empathy or support for the client.

It also indicates that the nurse is too busy or unwilling to listen to the client.

Choice D is wrong because it is too vague and does not acknowledge the client’s emotional state.

It also puts the burden on the client to come up with a solution for their problem.

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At the end of the shift, a nurse enters a crowded elevator and is standing near a client’s health care provider. Which response of the nurse is most appropriate when the health care provider asks, “How is my client in room 913 doing?”.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which nursing action is the priority intervention for a client diagnosed with total urinary incontinence?

Correct Answer is A

Explanation

A nurse finds a client who is awaiting the results of diagnostic tests sitting in bed crying. Which response by the nurse would best facilitate communication?

Correct Answer is C

Explanation

The client states “I can’t go on anymore. Life sucks and the world would be better off without me.” What is the RN’s best response?

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A client is prescribed olanzapine for schizophrenia. How will the nurse monitor the client for adverse side effects? (Select all that apply).

At the end of the shift, a nurse enters a crowded elevator and is standing near a client’s health care provider.
Which response of the nurse is most appropriate when the health care provider asks, “How is my client in room 913 doing?”.