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?

Respect the client's decision and inform the provider

Explain the benefits and risks of the procedure

Suggest alternative treatments for the condition

Assess the client's understanding of the consequences of uterine prolapse and the need for surgery

Answer and Explanation

The Correct Answer is D

Choice A reason: Respecting the client's decision and informing the provider is an appropriate action, but not the first one that the nurse should take. The nurse should first assess the client's understanding of the condition and the treatment options, and provide education and support as needed.

Choice B reason: Explaining the benefits and risks of the procedure is an appropriate action, but not the first one that the nurse should take. The nurse should first assess the client's understanding of the condition and the treatment options, and provide education and support as needed.

Choice C reason: Suggesting alternative treatments for the condition is an appropriate action, but not the first one that the nurse should take. The nurse should first assess the client's understanding of the condition and the treatment options, and provide education and support as needed.

Choice D reason: Assessing the client's understanding of the consequences of uterine prolapse and the need for surgery is the first and most appropriate action that the nurse should take. The nurse should determine the client's knowledge, beliefs, and preferences regarding the condition and the surgery, and address any gaps, misconceptions, or concerns. The nurse should also respect the client's autonomy and right to make informed decisions about their health care.

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Correct Answer is A

Explanation

Choice A reason: Offering to place the purse in the facility safe is the most appropriate action, as it ensures the security and confidentiality of the client's personal belongings. The nurse should document the items in the purse and obtain the client's signature before placing them in the safe.

Choice B reason: Telling the client to leave her purse in a drawer at the bedside is an inappropriate action, as it does not guarantee the safety of the client's personal belongings. The nurse should not leave the client's purse unattended or in an accessible location.

Choice C reason: Offering to store the purse with the nurse's belongings is an inappropriate action, as it violates the professional boundaries and the facility's policy. The nurse should not mix the client's personal belongings with their own, as it may create confusion or conflict.

Choice D reason: Placing the purse underneath the client's sheet is an inappropriate action, as it does not protect the client's personal belongings from theft or damage. The nurse should not hide the client's purse under the sheet, as it may be forgotten or misplaced.

A. A client who has a compromised airway B. A client who has major burns covering 70% of their body C. A client who experienced a brief loss of consciousness D. A client who has fixed pupils

Correct Answer is A

Explanation

Choice A reason: A client who has a compromised airway is in immediate danger of death and requires urgent attention. A red tag indicates that the client has a life-threatening condition and needs the highest priority of care.

Choice B reason: A client who has major burns covering 70% of their body is in critical condition and needs intensive care. However, they are not as urgent as a client who has a compromised airway. A yellow tag indicates that the client has a serious condition and needs the second highest priority of care.

Choice C reason: A client who experienced a brief loss of consciousness may have a concussion or a head injury, but they are not in immediate danger of death. A green tag indicates that the client has a minor condition and needs the lowest priority of care.

Choice D reason: A client who has fixed pupils is likely dead or near death and has no chance of survival. A black tag indicates that the client is deceased or expectant and needs no care.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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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?

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