A nurse is in the hallway assisting a patient to ambulate and hears an alarm sound. What is the best next step for the nurse to take?

Seek out the source of the alarm

Wait to see if the alarm discontinues.

Ask another nurse to check on the alarm

Continue ambulating the patient

Answer and Explanation

The Correct Answer is A

A.   Seeking out the source of the alarm is the best immediate action to ensure patient safety and address any potential emergencies.
B.   Waiting can delay response to a possible critical situation.
C.   While asking another nurse might help, the priority should be to address the alarm directly.
D.   Continuing to ambulate the patient could jeopardize their safety if the alarm indicates a serious issue.

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Correct Answer is B

Explanation

A. While reassuring, this response does not address the patient’s immediate concern or feelings.
B. This response acknowledges the patient’s anxiety and offers support, which is more therapeutic.
C. This response dismisses the patient’s feelings and does not provide support or understanding.
D. While medication may help, it is more important to address the underlying anxiety and provide emotional support.

A. Redefine the boundaries of professionalism B. Give the patient her number, but first ask that he call after work hours C. Give the patient false information to appease him D. Ask a coworker to take over care for this patient

Correct Answer is A

Explanation

A. Redefining professional boundaries is necessary to maintain an appropriate nurse-patient relationship.
B. Giving out personal contact information is unprofessional and can lead to boundary issues.
C. Providing false information is unethical and could damage trust.
D. While transferring care may be appropriate in some situations, addressing the boundary issue first is critical.

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A nurse is in the hallway assisting a patient to ambulate and hears an alarm sound. What is the best next step for the nurse to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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The patient expresses his attraction to the nurse who is caring for him. The patient asks the nurse for her phone number. How should the nurse first attempt to handle the situation?

Correct Answer is A

Explanation

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