During change-of-shift report, a nurse discovers they overlooked a prescription for a type and cross-match of a client who is to have surgery the next day. Which of the following actions should the nurse take first?

Obtain the client's type and cross-match.

Inform the provider of the delay in obtaining the type and cross-match.

Document the incident in the client's medical record.

Prepare an incident report for risk management.

Answer and Explanation

The Correct Answer is A

A.   Obtaining the client's type and cross-match is the first action the nurse should take because it ensures that the client will have compatible blood available for transfusion if needed during surgery.
B.   This is important but should only be done after obtaining the client’s type and cross-match.
C.   This should be done after obtaining the client’s type and cross-match.

D. While an incident report may be necessary, the immediate priority is to address the oversight and ensure patient safety.

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Correct Answer is B

Explanation

A. Maintaining a consistent sleep schedule is important for stress management; variability in sleep times can exacerbate stress.
B. Social support can help alleviate stress by providing a sense of belonging and sharing experiences.
C. Regular exercise is beneficial for stress management, but the frequency and duration may vary based on individual needs. However, 1 hour every week is little.
D. Delegating tasks can help reduce stress by distributing workload and responsibilities.

A. "Can you tell me what you mean by not having any purpose?" B. "Have you started volunteering in the community?" C. "You must plan to get involved in some new hobbies." D. "You seem in good health and able to handle whatever life presents."

Correct Answer is A

Explanation

A. This response is appropriate because it shows empathy, respect, and interest in the client's feelings and thoughts. It also invites the client to explore and clarify their meaning of purpose and how it relates to their retirement.
B. This response is dismissive of the client’s concern.

C. While hobbies can be fulfilling, this response does not address the client's feelings of purposelessness directly.
D. This response minimizes the client's feelings and does not offer constructive solutions to address their concerns.

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During change-of-shift report, a nurse discovers they overlooked a prescription for a type and cross-match of a client who is to have surgery the next day. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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