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 C

Explanation

Choice A rationale:

Verifying the count total after removing the required amount is a step in ensuring accurate medication administration, but it is not specifically related to controlled substances.

Choice B rationale:

Asking a second nurse to record her signature is a recommended practice when wasting any unused portion of a controlled substance to ensure accountability.

Choice C rationale:

Reporting any discrepancy in the count total is essential, especially for controlled substances, to maintain accuracy and detect potential diversion.

Choice D rationale:

Placing the wasted portion in the sharps container is not the correct disposal method for controlled substances. Controlled substances should be witnessed and documented during disposal.

A. Cool skin B. Shakiness C. Confusion D. Thirst

Correct Answer is D

Explanation

Choice A rationale:

Cool skin is not indicative of hyperglycemia. In hyperglycemia, the skin may be warm or normal.

Choice B rationale:

Shakiness is more associated with hypoglycemia (low blood glucose) rather than hyperglycemia.

Choice C rationale:

Confusion can be seen in both hyperglycemia and hypoglycemia, but it is not specific to hyperglycemia.

Choice D rationale:

Thirst is a common symptom of hyperglycemia. High blood glucose levels lead to increased thirst as the body tries to dilute excess glucose in the blood by drawing in more water.

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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

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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