A nurse is completing a preoperative checklist for a client. The client tells the nurse. "I am not sure if I want the procedure after all." Which of the following responses should the nurse make?

"Why are you changing your mind about the procedure?"

"This procedure is perfectly safe."

"I will contact the provider to let her know."

"You should discuss your concerns with your family!"

Answer and Explanation

The Correct Answer is C

A.   "Why are you changing your mind about the procedure?" This question may come across as confrontational or judgmental. It does not directly address the client’s need for information or support.
B.   "This procedure is perfectly safe." This response is dismissive and provides false reassurance. The nurse should avoid minimizing the client's concerns.
C.   "I will contact the provider to let her know." When a client expresses uncertainty about undergoing a procedure, the nurse's priority is to notify the provider. The provider is responsible for addressing the client’s concerns, clarifying the procedure, and ensuring informed consent. The client's autonomy must be respected, and they have the right to withdraw consent at any time.
D.   "You should discuss your concerns with your family!" While family support can be helpful, the decision to proceed or not is ultimately between the client and the provider. Directing the client to the family may undermine their autonomy.

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Correct Answer is B

Explanation

A. Close the door to the client's room: This helps contain the fire and prevents smoke from spreading, but it should not be the immediate action after client removal.
B. Activate the alarm outside the client's room: Activating the alarm is critical after ensuring the client's safety, as it alerts the facility to the emergency and mobilizes response teams.
C. Use a Class A fire extinguisher to contain the fire: The type of extinguisher used depends on the fire classification. Attempting to extinguish a fire should occur only after the alarm is activated.
D. Turn off electrical equipment in the client's room: While turning off electrical equipment can reduce fire hazards, it is not the next priority after removing the client.

A. Client 5 B. Client 4 C. Client 3 D. Client 2 E. Client 1

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

Explanation

A. Client 5 (Streptococcal pharyngitis): Proper isolation and precautions were implemented, including a private room and surgical mask during transport. No follow-up is needed.
B. Client 4 (Mycobacterium tuberculosis): Requires follow-up. Tuberculosis requires a negative pressure room, not a positive airflow room. Positive airflow rooms are used for clients who need protection from outside pathogens, such as those who are immunocompromised.
C. Client 3 (Herpes simplex): Correct precautions were implemented. Herpes simplex (when involving open lesions) requires contact precautions, including gown and gloves. No follow-up is necessary.
D. Client 2 (Clostridium difficile): Appropriate precautions were taken, including a private room and the use of gown and gloves for direct care. No follow-up is needed.
E. Client 1 (Pertussis): Requires follow-up. Pertussis is transmitted via respiratory droplets, but placing the client in a negative pressure room is unnecessary. Droplet precautions (standard private room and surgical mask use within 3 feet) are sufficient. Negative pressure rooms are reserved for airborne infections such as tuberculosis.

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A nurse is completing a preoperative checklist for a client. The client tells the nurse. "I am not sure if I want the procedure after all." Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with staff members about the protocol for extinguishing a fire in a trash can in a client's room. After removing the client from the room, which of the following actions should the nurse instruct the staff members to take next?

Correct Answer is B

Explanation

A nurse is assisting in the review of infection control precautions implemented by staff in a facility. Exhibits Select 2 client situations that require follow-up by the infection control nurse.

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

Explanation

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