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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is B
Explanation
Choice A reason: The client's vital signs are not part of the background information, but rather the assessment information. The background information should include relevant and concise data about the client's history, diagnosis, and treatment.
Choice B reason: The client's name is part of the background information, as it identifies the client and establishes rapport. The name should be the first thing the nurse says when initiating the SBAR communication.
Choice C reason: The client's code status is not part of the background information, but rather the recommendation information. The code status should be communicated at the end of the SBAR communication, along with any other suggestions or requests for the receiving nurse.
Choice D reason: A prescribed consultation is not part of the background information, but rather the situation information. The situation information should describe the current problem or reason for the transfer.
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