A hospitalized patient tells the nurse that he intends to leave the acute care facility, against medical advice. The nurse's initial action(s) should be to:

Listen to the patient, answer questions, and offer to have the supervisor or physician speak with the patient.

Call both the supervisor and a family member to try to get the patient to reconsider.

Obtain a written explanation of the reasons from the patient and have the patient sign at the bottom of the sheet.

Advise the patient that this may mean that insurance would not pay for this hospitalization.

Answer and Explanation

The Correct Answer is A

A. Listen to the patient, answer questions, and offer to have the supervisor or physician speak with the patient. Understanding the patient’s concerns and providing information may help address their reasons for leaving and promote informed decision-making. Involving the supervisor or physician allows for further discussion.

B. Call both the supervisor and a family member to try to get the patient to reconsider: Family involvement should only occur with the patient’s consent.

C. Obtain a written explanation of the reasons from the patient: This can be done after addressing the patient’s concerns.

D. Advise the patient that insurance may not pay for this hospitalization: This may seem coercive and is not an immediate priority.

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Correct Answer is D

Explanation

A. Aspirin: Not relevant, as aspirin allergy does not affect ERCP.

B. Eggs: Egg allergy is irrelevant to iodine-based contrast.

C. Pork: Pork allergy has no relevance to the procedure or contrast material used in ERCP.

D. Shellfish: ERCP often uses iodine-based contrast media, and a shellfish allergy may indicate a higher likelihood of an iodine allergy.

A. excessive dryness. B. regular respiratory pattern. C. use of accessory muscles. D. alteration in sensation.

Correct Answer is C

Explanation

A. Excessive dryness: This is not a primary sign of respiratory difficulty.

B. Regular respiratory pattern: A regular pattern is indicative of normal respiration, not difficulty.

C. Use of accessory muscles: Accessory muscle use is a hallmark sign of respiratory distress, indicating increased effort to breathe.

D. Alteration in sensation: This is more associated with neurological conditions rather than respiratory issues.

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A hospitalized patient tells the nurse that he intends to leave the acute care facility, against medical advice. The nurse's initial action(s) should be to:

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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