A nurse is reviewing the chart of a new client in the family medicine clinic and notes that the client is identified as "George Smith." The nurse enters the room and finds a woman in a skirt. What action by the nurse is best?

Ask Mrs. Smith where her husband is right now.

Explain that the chart must contain an error.

Apologize and declare confusion about the client.

Ask the client about preferred forms of address.

Answer and Explanation

The Correct Answer is D

A. Assuming the client is someone else's spouse based on a name may be inappropriate and could lead to misunderstanding.

B. The chart may not necessarily contain an error, and jumping to conclusions could be unprofessional.

C. Apologizing and declaring confusion may make the client uncomfortable. It's more respectful to inquire directly.

D. Asking the client about their preferred form of address is the most respectful and professional approach.

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. Measuring abdominal girth can help monitor the aneurysm.

B. Auscultation is safe and may reveal bruits associated with aneurysms.

C. Palpation of the abdominal midline area is dangerous and can risk rupturing the aneurysm, requiring further education.

D. Observation is non-invasive and safe.

Correct Answer is ["937.5"]

Explanation

Calculate the fluid volume to be administered in the remaining 16 hours:

Total fluid volume - Fluid administered in the first 8 hours = Remaining fluid volume

30,000 mL - (1875 mL/hr * 8 hr) = 15,000 mL

Calculate the infusion rate for the remaining 16 hours:

Remaining fluid volume / Remaining time = Infusion rate

15,000 mL / 16 hr = 937.5 mL/hr

Therefore, the nurse should infuse the IV fluids at a rate of 937.5 mL/hr after the first 8 hours.

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A nurse is reviewing the chart of a new client in the family medicine clinic and notes that the client is identified as "George Smith." The nurse enters the room and finds a woman in a skirt. What action by the nurse is best?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The new graduate nurse is assessing a client with an unrepaired abdominal aortic aneurysm. What assessment technique requires further education by the supervising nurse?

Correct Answer is C

Explanation

Correct Answer is ["937.5"]

Explanation

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