A nurse is caring for a client who is postoperative and asks the nurse, "When will I get to go home? I'm not sure what happens next." Which of the following actions should the nurse take?

Assure the client that the provider will come to talk to him when she gets the chance.

Explain that the client should trust the provider because she has an excellent reputation.

Inform the provider that the client is requesting information about his treatment plan.

Tell the client that the provider will discharge him when she feels he is ready to leave.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Assuring the client that the provider will come to talk to him when she gets the chance may create uncertainty for the client. It's essential to address the client's concerns promptly.

Choice B rationale:

Explaining that the client should trust the provider because she has an excellent reputation does not directly address the client's specific questions about the treatment plan and discharge.

Choice C rationale:

Informing the provider that the client is requesting information about his treatment plan is the appropriate action. It facilitates communication between the client and the provider, ensuring that the client receives the necessary information about postoperative care and discharge planning.

Choice D rationale:

Telling the client that the provider will discharge him when she feels he is ready to leave does not provide the client with the information he is seeking. It is essential to address the client's concerns and provide relevant information.

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Correct Answer is A

Explanation

Choice A rationale:

Unplugging the pump is the first action to eliminate the immediate risk of sparks and prevent potential electrical hazards.

Choice B rationale:

Notifying the biomedical department is important but should be done after ensuring the immediate safety of the client.

Choice C rationale:

Labeling the pump with a defective equipment sticker is appropriate but does not address the immediate risk.

Choice D rationale:

Obtaining a replacement pump is a reasonable step, but unplugging the malfunctioning pump takes precedence to prevent any electrical hazards.

A. A blood glucose level of 110 mg/dL. B. A weight gain of 0.91 kg (2 lb) in 2 days C. Diarrhea one time in a 24-hr period D. A gastric residual of 300 mL at the end of the shift

Correct Answer is D

Explanation

Choice A rationale:

A blood glucose level of 110 mg/dL is within the normal range and is an expected finding.

Choice B rationale:

A weight gain of 0.91 kg (2 lb) in 2 days could be expected in a client receiving enteral feeding due to fluid intake. However, it's important to monitor for signs of fluid overload.

Choice C rationale:

Diarrhea one time in a 24-hour period can occur in some clients but should be monitored for any patterns or changes.

Choice D rationale:

A gastric residual of 300 mL at the end of the shift is higher than expected and may indicate delayed gastric emptying or intolerance to enteral feeding. This finding should be reported.

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A nurse is caring for a client who is postoperative and asks the nurse, "When will I get to go home? I'm not sure what happens next." Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer IV fluids to a client. The nurse notes sparks when plugging in the IV pump. Which of the following actions should the nurse take first?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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