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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Correct Answer is B

Explanation

A. A stable client with chronic angina is not in immediate danger, and the scheduled dose of nifedipine is not an urgent priority.

B. The client with unstable angina who has just undergone a heart catheterization with balloon angioplasty requires immediate assessment for complications such as bleeding, clot formation, or re-occlusion of the artery.

C. The 65-year-old post-MI client is stable, and while their anxiety is important to address, it is not an immediate concern compared to other clients.

D. The client post-coronary artery bypass with a potassium level of 4.2 mEq/L is stable and does not require urgent intervention.

A. Client who needs a beta blocker, and has a blood pressure of 98/58 mm Hg. B. Hypertensive client with a blood pressure of 156/90 mm Hg. C. Client who needs pain medication prior to a dressing change of a surgical wound. D. Client who had a first dose of captopril and needs to use the bathroom.

Correct Answer is A

Explanation

A. A client with low blood pressure (98/58 mm Hg) who requires a beta blocker should be seen first because beta blockers can lower blood pressure further, possibly leading to hypotension or dizziness.

B. A hypertensive client with a blood pressure of 156/90 mm Hg is stable and does not require immediate intervention.

C. While pain medication is important, it is not as urgent as addressing a client with low blood pressure and a medication that can worsen the condition.

D. The client who just had captopril can wait to use the bathroom, as the priority is addressing their blood pressure and captopril's effect.

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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

After receiving change-of-shift report about the following four clients, which client should the nurse assess first?

Correct Answer is B

Explanation

A nurse is caring for four clients. Which one would the nurse see first?

Correct Answer is A

Explanation

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