A nurse is preparing a client for surgery. The client has signed the consent form but tells the nurse that she has reconsidered because she is worried about the pain. Which of the following responses by the nurse is appropriate?

"You'll be fine. You'll receive a prescription for pain medication."

"Why didn't you discuss your concerns with your provider?"

"If you have the procedure now, you won't have to deal with pain and disability later."

"I understand, and it's not too late to change your mind,"

Answer and Explanation

The Correct Answer is D

A.   Dismissing the client's concerns and suggesting pain medication without addressing the client's worries isn't an empathetic or helpful response.
B.   Asking why the client didn't discuss concerns with the provider might make the client feel guilty or judged for their decision.
C.   Pressuring the client by suggesting avoiding future pain and disability isn't respectful of the client's current concerns and decision-making.
D.   Acknowledging the client's worries and affirming their ability to change their mind is an appropriate and supportive response.

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Correct Answer is C

Explanation

A. Contact precautions typically involve wearing gloves and a gown to prevent the spread of infectious agents through direct contact. Masks are not generally required for visitors unless the client is also on droplet or airborne precautions. Therefore, this statement reflects a misunderstanding of the specific requirements for contact precautions.
B.A client with compromised immunity should be placed in a positive-pressure airflow room, not a negative-pressure room. Positive-pressure rooms help prevent outside contaminants from entering the room, thereby protecting the immunocompromised client.
C. Clients on airborne precautions (e.g., for tuberculosis, varicella, or measles) should wear a mask if they need to leave their room to prevent the spread of airborne pathogens to others. This helps to contain infectious particles and protect others from exposure.
D. An N95 respirator mask is required for airborne precautions, not droplet precautions. For droplet precautions (e.g., for influenza, pertussis), a standard surgical mask is sufficient to protect against respiratory droplets.

A. Calling the pharmacy with a prescription for the client's partner to pick up B. Providing a copy of the client's medical record to the transporting paramedic C. Reporting a client's disposition to the referring provider D. Informing housekeeping staff that the client is in the dialysis unit

Correct Answer is B

Explanation

A. Calling the pharmacy for a prescription for the client's partner doesn't necessarily violate client confidentiality as it pertains to the partner's care.
B. Providing a copy of the client's medical record to a third party, the transporting paramedic, breaches confidentiality as it exposes the client's private health information to someone not
involved in direct care.
C. Reporting a client's disposition to the referring provider is part of normal care coordination and doesn't typically violate confidentiality.
D. Informing housekeeping staff about a client's location in a specific unit doesn't divulge confidential health information.

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A nurse is preparing a client for surgery. The client has signed the consent form but tells the nurse that she has reconsidered because she is worried about the pain. Which of the following responses by the nurse is appropriate?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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