46. Nurses working on a surgical unit are concerned about a physician's treatment of clients during invasive procedures, such as dressing changes and insertion of IV lines. Clients are often crying during the procedures, and the physician is usually unconcerned or annoyed by the client's response. To resolve this problem, the nurses should perform these actions in which order? (Arrange from the first action on top to last on the bottom.)

Document concerns and report them to the charge nurse.

Contact the hospital's Chief of Medical Services.

Submit a written report to the Director of Nursing.

File a formal complaint with the state medical board.

Talk to the physician as a group in a non-confrontational manner.

Answer and Explanation

The Correct Answer is E, A, C, B, D

E. Talk to the physician as a group in a non-confrontational manner.

This is the first and most direct approach to address any interpersonal or professional issues. It allows for open communication and the possibility to resolve the issue without escalating it further.

A. Document concerns and report them to the charge nurse.

If the initial conversation does not lead to a change in behavior, documentation provides a record of the incidents and concerns, which is essential for any further action.

C. Submit a written report to the Director of Nursing.

Reporting the issue to higher management is a step up from reporting to the charge nurse. It brings the concern to the level of administration that can take more significant actions.

B. Contact the hospital's Chief of Medical Services.

If the issue persists despite the steps taken, involving the Chief of Medical Services is appropriate as they have the authority over medical staff and can address the physician's behavior from a position of leadership.

D. File a formal complaint with the state medical board.

This is the last resort when all other internal avenues have been exhausted. It involves external authorities that can impose sanctions or take other actions to ensure professional standards are maintained.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Free Nursing Study Resources

Correct Answer is D

Explanation

A. Vitamin D combined with calcium is balanced with phosphorus for absorption for strong bones: While phosphorus is important for bone health, this statement does not specifically address the role of vitamin D in calcium absorption.
B. Calcium uses vitamin D that is produced in the skin by exposure to sunshine: This statement describes the role of sunlight in vitamin D synthesis but does not emphasize the importance of vitamin D supplementation in osteoporosis management.
C. Avoiding the use of sunscreen is important for adequate vitamin D synthesis: While sunscreen can inhibit vitamin D synthesis, this statement does not directly address the importance of
vitamin D supplementation in osteoporosis management.
D. Adding daily Vitamin D with oral calcium supplements promotes absorption of calcium into bone: This statement emphasizes the crucial role of vitamin D in facilitating calcium absorption into bones, which is essential for maintaining bone density and preventing osteoporosis
progression.

A. Body mass index (BMI) 28 kg/m2 B. Sister with type 2 diabetes mellitus C. Cannabis use D. High density lipoprotein 43 mg/dL

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"C"},"D":{"answers":"A"}}

Explanation

Body mass index (BMI) is a measure of body fat based on height and weight., A BMI of 25 to 29.9 is considered overweight. Being overweight is a known modifiable risk factor for type 2 diabetes mellitus. The client can potentially lower his risk of developing diabetes by adopting a healthier lifestyle, which may include diet and exercise to achieve a healthier BMI.

Family history is a known risk factor for type 2 diabetes mellitus. Having a first- degree relative with diabetes increases a person's risk of developing the condition. This risk factor is non-modifiable as one cannot change their genetic makeup or family history.

There is no conclusive evidence that links occasional cannabis use to an increased risk of developing type 2 diabetes mellitus. However, lifestyle choices are generally considered modifiable risk factors. It's important to consider the overall lifestyle and health behaviors of the individual.

HDL cholesterol is often referred to as "good" cholesterol. Higher levels of HDL cholesterol are associated with a lower risk of heart disease, which is a common comorbidity of diabetes.An HDL level lower than the recommended range is a modifiable risk factor as it can often be increased through lifestyle changes such as diet and exercise.

While HDL levels are not a direct risk factor for diabetes, they are related to the overall metabolic health of an individual, which can influence the risk of developing type 2 diabetes.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is teaching a client with early osteoporosis the importance of including vitamin D with calcium supplements. Which information is most important for the nurse to provide to encourage the client's compliance in the management of progressing osteoporosis?

Correct Answer is D

Explanation

Exhibits Review History and Physical, and laboratory results. Based on the finding, indicate whether the finding represents a modifiable risk factor, a non modifiable risk factor, or is unrelated to type 2 diabetes mellitus.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"C"},"D":{"answers":"A"}}

Explanation

Exhibits Based on the results of the echocardiogram, the physician has decided to repair the ventricular septal via cardiac catheterization. What should the nurse's focused assessment include before the cardiac catheterization? Select all that apply.

The nurse implements a primary prevention program for sexually transmitted diseases in a nurse managed health center. Which outcome indicates that the program was effective?

Following a cardiac catheterization and placement of a stent in the right coronary artery, the nurse administers prasugrel to the client. To monitor for adverse effects from the medication, which assessment is most important for the nurse to include in this client's plan of care?

A client with a history of rheumatic fever is diagnosed with mitral valve stenosis. The client has shortness of breath with exertion and fatigue. Which assessment finding warrants immediate intervention by the nurse?

The nurse observes an unlicensed assistive personnel (UAP) washing hands prior to entering the client's room. Which action by the UAP requires additional teaching?

A client arrives for an annual physical exam and reports having calf pain. The client's health history reveals peripheral arterial disease. Which question should the nurse ask the client about expected findings related to chronic arterial symptoms?

A client with chronic obstructive lung disease who is receiving oxygen at 1.5 L/minute by nasal cannula, is currently short of breath. Which action should the nurse take?

Exhibits The nurse Interprets the repeat blood gas. Choose the most likely options for the information missing from the statement(s) by selecting from the lists of options provided. The blood gas results indicate that the client has dropdown, dropdown and dropdown