A facility provides annual staff education regarding ethical practice. A charge nurse recognizes a need for further education when which of the following behaviors is observed?

A nurse informs a confused client who wants to go home that he is going to stay at the facility until he is better.

A nurse gives prescribed opioids to a client who has a terminal illness and respirations of 8/min.

A nurse explains to a client's family that a DNR order includes withholding comfort measures.

A nurse refuses to actively participate during an elective abortion procedure scheduled for her client.

Answer and Explanation

The Correct Answer is C

A DNR (Do Not Resuscitate) order means that CPR should not be initiated in the event of a cardiac arrest. This however, does not include other aspects of care that may be required by the client. Comfort measures should still be used unless stated otherwise.
A. A confused client lacks the mental capacity to refuse care and the nurse is right.
B. Respiratory depression is not a contraindication to opioid therapy in cases of pain during end of life care.
D. The nurse has the right to decline participation in elective abortion cases.

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Free Nursing Study Resources

Correct Answer is B

Explanation

Bronchodilator in cystic fibrosis is needed more frequently than twice before each chest physiotherapy sessions.

A. A high protein and low fiber diet is recommended for clients with ulcerative colitis.

C. Neurovascular check should be done regularly as it may cause compartment syndrome due to progressive edema.

D. Eye shields should be on during phototherapy to prevent corneal damage

A. Discuss with the client her concerns regarding the procedure. B. Initiate a mental health consult to determine the client's reasons for refusing surgery. C. Provide the client with information on treatment options and outcomes, D. Inform the client of the consequences of uterine prolapse and the need for intervention.

Correct Answer is A

Explanation

the nurse should respect the client’s autonomy and respect her decision

B. the nurse should not assume that the client has mental health issue due to refusal of surgery .

C and D. the nurse should not try to persuade the client against her decisions.

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A facility provides annual staff education regarding ethical practice. A charge nurse recognizes a need for further education when which of the following behaviors is observed?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A pediatric nurse is caring for multiple clients and reviewing each of their care plans. Which of the following client care interventions requires revising?

Correct Answer is B

Explanation

A nurse is caring for a client who has uterine prolapse. The provider has recommended a total abdominal hysterectomy, but the client tells the nurse that the surgery is not an option. Which of the following is an appropriate action for the nurse to take?

Correct Answer is A

Explanation

A nurse is assessing a client who had a stroke 2 days ago. Which of the following findings should the nurse identify as a need for a referral to speech-language pathology?

A nurse on a medical-surgical unit is caring for four clients. The nurse should recognize that which of the following clients is the highest priority?

A charge nurse notices that staff nurses are having difficulty using new IV infusion pumps for medication administration. Which of the following is the priority action by the charge nurse?

A nurse working on a medical-surgical unit is managing the care of four clients. The nurse should schedule an interdisciplinary conference for which of the following clients?

A nurse is providing an in-service about actions to take during a fire on the unit. Which of the following instructions should the nurse include?

A nurse is preparing a client for surgery. The client expresses concern that someone might steal her purse during the procedure. Which of the following actions should the nurse take?

A hospice nurse is caring for a client who has a terminal illness and reports severe pain. After the nurse administers the prescribed opioid and benzodiazepine, the client becomes somnolent and difficult to arouse. Which of the following actions should the nurse take?

A nurse in an emergency department is triaging four clients following a mass casualty event. To which of the following clients should the nurse assign a red tag?