A female nurse is beginning to avoid going into the room of a male client who makes frequent sexual comments about nurses. The nurse's initial response should be to:

call the supervisor.

limit the amount of time spent in the client's room.

have a male nursing assistant provide care.

address the behavior and ask that it stop.

Answer and Explanation

The Correct Answer is D

A. Call the supervisor: While it's important to involve the supervisor if the situation escalates or if additional support is needed, calling the supervisor should not be the nurse's initial response. The nurse should first attempt to address the behavior directly with the client.

B. Limit the amount of time spent in the client's room: Limiting the time spent in the client's room may seem like a temporary solution to avoid the uncomfortable situation, but it does not address the underlying issue of inappropriate behavior. The nurse should address the behavior directly to attempt to resolve it rather than avoiding the client's room altogether.

C. Have a male nursing assistant provide care: Assigning care based on gender may not be feasible or appropriate in all situations. It also does not address the underlying behavior of the client making inappropriate sexual comments. Additionally, it may not be fair to the male nursing assistant to assign care based on the client's behavior.

D. Address the behavior and ask that it stop: This is the most appropriate initial response. The nurse should directly address the client's behavior by setting clear boundaries and expressing that the sexual comments are inappropriate and unacceptable. The nurse can assertively communicate that such behavior will not be tolerated and ask the client to stop. This approach empowers the nurse to assert professional boundaries and encourages respect for both the nurse and other healthcare providers.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Docusate sodium is a stool softener commonly prescribed to alleviate constipation, particularly in patients taking opioid pain medications, which often cause constipation as a side effect. When educating a client about docusate sodium, it's essential to provide accurate information about its onset of action and expected effects.

A. "I can take this medication along with mineral oil."

This statement indicates a misunderstanding of the teaching. Combining docusate sodium with mineral oil is not recommended because mineral oil can interfere with the absorption of fat-soluble vitamins and may diminish the effectiveness of docusate sodium.

B. "I should drink 4 ounces of water when I take the medication."

Although it's important to stay hydrated when taking docusate sodium, there isn't typically a specific volume of water recommended for each dose. While hydration can aid in the effectiveness of the medication, this statement doesn't directly address the expected action of docusate sodium.

C. "It might take up to 3 days for the medication to work."

This statement demonstrates an understanding of the teaching. Docusate sodium may take a few days to produce a noticeable effect on bowel movements. Understanding this timeline helps manage the client's expectations and prevents premature discontinuation of the medication due to perceived lack of efficacy.

D. "I will take the medication for diarrhea."

Docusate sodium is not indicated for the treatment of diarrhea. It is specifically used as a stool softener to alleviate constipation by promoting easier passage of stool. This statement indicates a misunderstanding of the intended use of the medication.

A. polyuria. B. retention. C. oliguria. D. anuria.

Correct Answer is C

Explanation

A. Polyuria: Polyuria refers to abnormally large volume of urine output, typically exceeding 2.5 to 3 liters per day in adults. It is often associated with conditions such as diabetes mellitus, diabetes insipidus, or certain medications that increase urine production. Urinating 250 mL over 24 hours does not meet the criteria for polyuria.

B. Retention: Urinary retention refers to the inability to completely empty the bladder, leading to accumulation of urine. It is characterized by difficulty initiating urination or incomplete bladder emptying. Urinating 250 mL over 24 hours does not indicate urinary retention.

C. Oliguria: Oliguria is defined as diminished urine output, typically less than 400 mL per day in adults. It is a common sign of kidney dysfunction or acute kidney injury. Urinating 250 mL over 24 hours falls within the range of oliguria, indicating decreased urine production compared to normal.

D. Anuria: Anuria is the absence of urine production or excretion, typically defined as urine output less than 100 mL per day. It is often indicative of severe kidney dysfunction, renal failure, or obstruction of the urinary tract. While the client's urine output of 250 mL over 24 hours is low, it does not meet the criteria for anuria.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A female nurse is beginning to avoid going into the room of a male client who makes frequent sexual comments about nurses. The nurse's initial response should be to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who takes opioid pain medication and has a new prescription for docusate sodium. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is C

Explanation

The nurse is caring for a client who has kidney disease. The client has urinated 250 mL over the past 24 hours. The nurse describes this urine output as:

Correct Answer is C

Explanation

Which food item should the nurse instruct the patient to consume to prevent or treat constipation?

The nurse knows that the difference between "spirituality" and "religion" is that spirituality:

The nurse teaches the client that fiber provides the bulk in the stools to allow for easier defecation. The nurse recognizes that teaching is effective when the client's menu choices include more:

Which word should the nurse use when describing to a client how a soapsuds enema affects the intestine?

What is the best way for the nurse to document the assessment of a client's foot on the Admission Database?

An older adult client experiences a change in mental status. Which assessment finding represents a critical thinking approach?

The nurse is teaching a client who will be collecting a stool sample for a hemoccult test. The nurse determines that teaching has been effective when the client states: