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. Contacting the provider may be part of the process, but it does not directly address the conflict between the family members' wishes and the health care surrogate's legal authority.
B. While the ethics committee can be a valuable resource in resolving disputes, it is not the first step in this situation, as the health care surrogate has the legal right to make decisions on behalf of the unconscious client.
C. The health care surrogate is legally designated to make health care decisions for the client when they are unable to do so themselves. This includes decisions about life-sustaining treatments such as a feeding tube.
D. Reviewing the client's advance directives is important, but it does not supersede the authority of the health care surrogate unless the directives explicitly limit the surrogate's decision-making power.

A. Accompanying a client who just had a wound debridement to physical therapy B. Reinforcing dietary teaching with a client who has heart disease C. Obtaining a urine specimen from an older adult client D. Providing postmortem care for a client who has just died

Correct Answer is B

Explanation

A. Accompanying a client to physical therapy is a task that can be appropriately delegated to an AP, as it does not require clinical judgment or advanced nursing knowledge. This task does not require the skills of an LPN.

B. Reinforcing dietary teaching with a client who has heart disease is within the scope of practice for an LPN. LPNs can reinforce teaching that has already been initiated by the registered nurse (RN). This task involves some level of knowledge and skill but does not require independent clinical judgment, making it suitable for the LPN.

C. Obtaining a urine specimen from an older adult client is a task that can be delegated to an AP, as it is a routine procedure that does not require nursing assessment or decision-making. This task does not require the skills of an LPN.

D. Providing postmortem care for a client who has just died is a task that can be appropriately delegated to an AP. This task involves following established protocols and does not require clinical judgment or advanced nursing skills. It is not necessary to assign this task to an LPN.

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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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Correct Answer is C

Explanation

A nurse on a medical-surgical unit is caring for a group of clients with the assistance of a licensed practical nurse (LPN) and an assistive personnel. Which of the following tasks should the nurse assign to the LPN?

Correct Answer is B

Explanation

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