Upon entering a patient’s room to administer an IV antibiotic at 0900, the nurse discovers that the patient is engaged in sexual activity with a visitor.
What should be the nurse’s course of action?

Ignore the behavior and proceed with the IV antibiotic administration.

Instruct the patient to cease the inappropriate behavior.

Exit the room and close the door quietly.

Fill out an unusual occurrence report.

Answer and Explanation

The Correct Answer is C

Choice A rationale
Ignoring the behavior and proceeding with the IV antibiotic administration is not the best course of action. This would be an invasion of the patient’s privacy and could potentially lead to legal issues. It is important to respect the patient’s privacy and dignity at all times.
Choice B rationale
Instructing the patient to cease the inappropriate behavior is not the best course of action. While the behavior is inappropriate, it is not the nurse’s place to reprimand the patient. This could lead to a breakdown in the nurse-patient relationship and could potentially escalate the situation.
Choice C rationale
Exiting the room and closing the door quietly is the best course of action. This respects the patient’s privacy and allows the patient and visitor to finish their activity. The nurse can then return at a later time to administer the IV antibiotic.
Choice D rationale
Filling out an unusual occurrence report is not necessary in this situation. While the behavior is inappropriate, it is not an unusual occurrence that requires reporting. The nurse should handle the situation professionally and with discretion.

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Correct Answer is A

Explanation

Choice A rationale

Restricted activity can help reduce intestinal activity, thereby decreasing inflammation and allowing for tissue healing within the gastrointestinal tract.
Choice B rationale
While controlling diarrhea episodes is an important aspect of managing Crohn’s disease, it is not the primary purpose of activity restriction.
Choice C rationale
Promoting the healing process is a crucial aspect of managing Crohn’s disease. However, the primary purpose of activity restriction is to reduce intestinal activity, which in turn can promote healing.
Choice D rationale
Decreasing abdominal pain is an important aspect of managing Crohn’s disease, but it is not the primary purpose of activity restriction.

A. Obtain an analgesic prescription B. Infuse an intravenous fluid bolus C. Administer PRN oral antipyretic D. Cover the patient with a cooling blanket

Correct Answer is B

Explanation

Choice A rationale
While obtaining an analgesic prescription might help to alleviate the patient’s joint pain, it is not the first intervention that should be implemented in an acute adrenal crisis. The patient’s low blood pressure and high heart rate are immediate life-threatening conditions that need to be addressed first.
Choice B rationale
Infusing an intravenous fluid bolus is the first intervention that should be implemented in an acute adrenal crisis. This can help to increase the patient’s blood pressure, which is dangerously low.
Choice C rationale
Administering a PRN oral antipyretic could help to reduce the patient’s fever, but it is not the first intervention that should be implemented in an acute adrenal crisis. The patient’s low blood pressure and high heart rate are immediate life-threatening conditions that need to be addressed first.

Choice D rationale
Covering the patient with a cooling blanket could help to reduce the patient’s fever, but it is not the first intervention that should be implemented in an acute adrenal crisis. The patient’s low blood pressure and high heart rate are immediate life-threatening conditions that need to be addressed first.

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Upon entering a patient’s room to administer an IV antibiotic at 0900, the nurse discovers that the patient is engaged in sexual activity with a visitor. What should be the nurse’s course of action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Restricted activity is prescribed for a client with Crohn’s disease. What is the primary purpose of the activity restriction?

Correct Answer is A

Explanation

Correct Answer is B

Explanation

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Upon entering a patient’s room to administer an IV antibiotic at 0900, the nurse discovers that the patient is engaged in sexual activity with a visitor.
What should be the nurse’s course of action?