A nurse is caring for a patient who is postoperative following foot surgery and is not to bear weight on the operative foot. The nurse enters the room to discover the patient hopped on one foot to the bathroom, using an IV pole for support. Which of the following actions should the nurse take?
Keep the bathroom door open to ensure the patient is okay.
Walk the patient back to bed immediately and get the patient a bedpan.
Warn the patient they might have to be restrained if they get up without assistance.
Tell the patient to remain in the bathroom after toileting and obtain a wheelchair.
The Correct Answer is D
Choice A reason: Keeping the bathroom door open does not address the safety risk of the patient bearing weight on the operative foot.
Choice B reason: While it is important to assist the patient back to bed, providing a bedpan does not address the immediate safety concern.
Choice C reason: Warning the patient about restraints is not appropriate without first educating the patient about the importance of not bearing weight and the potential risks.
Choice D reason: Telling the patient to remain in the bathroom until a wheelchair can be obtained ensures the patient's safety and prevents further weight-bearing on the operative foot.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Forming a routine at different times of the day does not specifically address constipation and can be confusing for the patient.
Choice B reason: Increasing daily fluid intake can help alleviate constipation by softening the stool and promoting bowel movements.
Choice C reason: Increasing daily activity can help with constipation, but it is not as immediate or effective as increasing fluid intake.
Choice D reason: Consuming a low-fiber diet is not recommended for constipation; in fact, a high-fiber diet is beneficial.
Correct Answer is D
Explanation
Choice A reason: This statement is incorrect; patients have the right to refuse treatment at any time, even after signing the consent form.
Choice B reason: While the charge nurse may review the risks, it is typically the responsibility of the provider performing the procedure to ensure the patient understands the risks involved.
Choice C reason: A witness may be required to sign the consent form, but it does not necessarily have to be the patient's partner.
Choice D reason: It is important for the provider to discuss all treatment options with the patient, so they can make an informed decision.
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