A nurse is caring for a client who is scheduled for surgery. While the nurse is witnessing the client's signature, the client states, "I trust my doctor, but I don't understand what is meant by resecting my intestines." Which of the following actions should the nurse take?
Notify the provider.
Provide brochures about the procedure.
Describe the surgery to the client.
Complete an incident report
The Correct Answer is A
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Motivation is influenced by various factors, including the client's perception of the benefits or rewards they will receive by engaging in a particular behavior. When the client believes that their needs will be met through education, they are more likely to be motivated to learn and actively participate in the teaching process.
Seeking family approval, while a positive influence, may not be the strongest motivator for learning in this context. While family approval can be a source of motivation, it may not be the primary driving factor for an individual's willingness to learn a specific skill.
The nurse explaining the need for education is important for providing rationale and understanding, but it may not directly increase the client's motivation unless it is tied to the client's own needs and expectations.
The nurse's empathy is a valuable quality that can create a supportive and trusting environment for the client. While empathy can foster a positive nurse-client relationship and enhance the client's overall experience, it may not directly increase the client's motivation to learn unless it is coupled with addressing the client's needs and expectations.
Correct Answer is A
Explanation
When using restraints for the safety of the client and others, it is important to follow proper procedures to ensure the client's well-being and minimize the risk of injury. Removing one restraint at a time allows for better control and assessment of the client's behavior and response. It also helps maintain the client's safety by ensuring that at least one limb is restrained during the process.
Restraints should never be tied to the side rail as it can cause serious harm or injury to the client. Restraints should be attached to an immobilization device specifically designed for that purpose, such as a bed frame or a designated restraint chair.
Restraints should be secured with a quick-release mechanism, such as a buckle or Velcro, that allows for quick and easy removal in case of emergency or the need for rapid intervention. Tying restraints with a square knot can delay the removal process and may compromise the client's safety.
Restraints should only be used when necessary and as prescribed by the healthcare provider. The frequency and duration of restraint use should be based on the client's condition and the specific order from the healthcare provider. It is not appropriate to remove restraints based solely on a time schedule without considering the client's individual needs and safety. Regular assessments should be conducted to determine if continued use of restraints is required or if alternative interventions can be implemented.
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