The receptionist working in an outpatient clinic provides the nurse with a list of clients who need a return call from the nurse. The nurse should call the client with which description first?

Hepatitis A complaining of arms and legs itching.

Rheumatoid arthritis having trouble sleeping.

Spinal osteomyelitis with complaint of nausea.

Right leg cast with a tingling down the leg.

Answer and Explanation

The Correct Answer is D

Choice A rationale: This is not an emergency compared to a client with a right cast leg reporting tingling on the leg.

Choice B rationale: This is not an emergency compared to a client with a right cast leg reporting tingling on the leg.

Choice C rationale: This is not an emergency compared to a client with a right cast leg reporting tingling on the leg.

Choice D rationale: This could indicate impaired circulation or nerve compression, which could lead to permanent damage or loss of limb if not treated promptly.

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Correct Answer is D

Explanation

Choice A rationale: Reminding the client about new treatments does not address the refusal to write do-not-resuscitate instructions and may not be the most appropriate action.

Choice B rationale: While facilitating a palliative care meeting is important for addressing end-of-life care, it doesn't directly address the provider's refusal to write do not-resuscitate instructions.

Choice C rationale: Providing the healthcare provider with a copy of the client's bill of rights may not be the most effective action in this situation.

Choice D rationale: Initiating a review of the situation by the hospital's ethics committee is appropriate when there is a disagreement between the client's wishes and the healthcare provider's refusal. The ethics committee can help navigate and resolve ethical concerns.

A. Wait until 0830 and administer the aspirin. B. Obtain a prescription for a PRN analgesic. C. Assess the client's prothrombin time (PT)/international normalized ration (INR). D. Administer the prescribed daily aspirin now.

Correct Answer is B

Explanation

Choice A rationale: Waiting until 0830 and administering the aspirin would not address the client's immediate need for pain relief.

Choice B rationale: Obtaining a prescription for a PRN analgesic is the most appropriate action to provide the client with effective pain relief.

Choice C rationale: Assessing the client's prothrombin time (PT)/international normalized ratio (INR) is not necessary in this context and does not address the immediate pain concern.

Choice D rationale: Administering the prescribed daily aspirin now would not address the client’s lower back pain at the moment.

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The receptionist working in an outpatient clinic provides the nurse with a list of clients who need a return call from the nurse. The nurse should call the client with which description first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

After an interdisciplinary team meeting regarding the client's request to die a natural death, the primary healthcare provider refuses to write the do-not-resuscitate instructions. Which action should the nurse take?

Correct Answer is D

Explanation

Aspirin 81 mg at 0900 daily is prescribed for an adult client. At 0800 the client asks for something for low back pain, but does not have any PRN analgesics prescribed. Which action is best for the nurse to take?

Correct Answer is B

Explanation

The nurse is caring for a client at the clinic who tests positive for the sexually transmitted infection (STI) trichomoniasis. The client reports having sex with multiple partners. Which response should the nurse provide?

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