A nurse is caring for a client who is scheduled for a procedure, but the client states that they no longer want to undergo the procedure. Which of the following actions should the nurse take?

Explain that the treatment is both safe and therapeutic.

Tell the client that the procedure is necessary.

Notify the client's loved ones of the client's refusal of the procedure.

Inform the client they have the right to refuse treatment.

Answer and Explanation

The Correct Answer is D

A. Explain that the treatment is both safe and therapeutic: Providing reassurance about the safety and effectiveness of the procedure may be informative, but it can unintentionally pressure the client to consent. It does not respect the client’s autonomy or support their right to make independent healthcare decisions.

B. Tell the client that the procedure is necessary: Telling the client a procedure is necessary can sound coercive and may disregard their legal and ethical right to refuse treatment. Nurses must prioritize respecting the client's decisions, even if those decisions involve refusing recommended medical care.

C. Notify the client's loved ones of the client's refusal of the procedure: Informing family members without the client’s consent may breach confidentiality and is not appropriate unless the client is unable to make informed decisions. Client autonomy must be preserved, and their refusal should be respected unless there is an immediate risk of harm.

D. Inform the client they have the right to refuse treatment: Clients have the legal and ethical right to refuse any medical intervention, even if it is life-sustaining. The nurse’s role includes advocating for the client’s autonomy, ensuring informed consent, and supporting their decision without judgment or pressure.

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Correct Answer is C

Explanation

A. Gather additional information from the caller to verify their identity: Even if the caller's identity is verified, HIPAA regulations prohibit disclosing a client's medical information without the client’s explicit authorization. Verifying identity alone does not grant permission to release confidential health information.

B. Request that the caller contact the client's provider directly for information: Redirecting the caller to the provider does not resolve the issue of confidentiality. Healthcare providers are also bound by HIPAA regulations and cannot release information without proper consent, regardless of who is making the request.

C. Ask the caller to contact the client directly for information: This action respects the client’s privacy and autonomy. Under HIPAA, healthcare professionals may not disclose health information without client authorization. Advising the sibling to speak directly with the client is the appropriate response to safeguard confidentiality.

D. Provide the caller with a brief update about the client's condition: Sharing any health information without the client’s express consent is a violation of HIPAA. Even a brief update constitutes a breach of confidentiality and could result in legal and professional consequences.

A. Administer an antibiotic. B. Limit foods high in potassium. C. Limit alcohol intake to 2 drinks per day. D. Administer a diuretic. E. Keep daily fat intake to less than 35%. F. Place on 2,300 mg sodium diet.

Correct Answer is ["B","D","E","F"]

Explanation

A. Administer an antibiotic: There is no indication of infection; WBC count is normal, and the client is afebrile. The reported symptoms relate to lifestyle and substance use rather than a bacterial illness, making antibiotics unnecessary.

B. Limit alcohol intake to 2 drinks per day: The client uses 4–5 beers nightly to sleep, indicating alcohol misuse that can exacerbate hypertension and negatively impact sleep quality. Limiting intake supports cardiovascular and liver health, and aligns with public health recommendations.

C. Limit foods high in potassium: The client’s potassium level is within the normal range (3.7 mEq/L), and there is no evidence of kidney dysfunction or hyperkalemia. Restricting potassium is unwarranted and could risk deficiency.

D. Administer a diuretic: The client has elevated blood pressure (162/90 mm Hg), which may require pharmacologic intervention. Diuretics are a common first-line treatment for hypertension as they reduce fluid overload and vascular resistance.

E. Keep daily fat intake to less than 35%: The client’s LDL (210 mg/dL) and total cholesterol (248 mg/dL) levels are significantly elevated. Reducing total fat intake, particularly saturated fats, is essential for lowering cholesterol and reducing cardiovascular risk.

F. Place on 2,300 mg sodium diet: A sodium-restricted diet is standard for managing hypertension. The American Heart Association recommends limiting sodium to help control blood pressure and reduce cardiovascular complications.

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A nurse is caring for a client who is scheduled for a procedure, but the client states that they no longer want to undergo the procedure. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a provider's office receives a telephone call from a client's sibling requesting current information about the client's condition. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is assisting in the care of a client in a provider's office. Exhibits A nurse is caring for the client. Which of the following prescriptions should the nurse anticipate the provider to prescribe? Select all that apply.

Correct Answer is ["B","D","E","F"]

Explanation

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