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. Has a Foley catheter in place: Not required for an MRI. Foley catheters made of metal-free materials do not interfere with MRI imaging.

B. Has drunk a liter of fluid: This is not relevant for an MRI, unless specifically indicated for contrast imaging, which is uncommon.

C. Has eaten a meal: Eating or fasting is not typically relevant for MRI procedures unless sedation or contrast media requires it.

D. Is not wearing anything with metal: Metal objects can interfere with the MRI’s magnetic field and pose a safety risk to the patient and equipment. Even small objects like jewelry, piercings, or implanted devices must be addressed to prevent harm.

Correct Answer is ["Hematoma"]

Explanation

After an angiogram, bleeding under the skin can lead to the formation of a hematoma. Direct pressure at the site reduces the risk of hematoma formation and ensures hemostasis.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Prior to the nurse transporting the patient to have a magnetic resonance imaging (MRI), it is essential that the nurse confirms that the patient:

Correct Answer is D

Explanation

Pressure must be placed over the site of insertion of the catheter used for an angiogram, or a(n) ______________ may form.

Correct Answer is ["Hematoma"]

Explanation

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