A student nurse is assessing their patient who is NPO due to a recent surgery. The provider comes in the room to see the patient and states that the patient is cleared to start a full liquid diet. What is the best action by the student nurse?
Ensure the patient is safe and leave to get them some water.
Contact dietary to order the patient a full liquid meal.
Request that the provider write the order in the chart.
Record the information in the patient chart.
The Correct Answer is C
A. Ensure the patient is safe and leave to get them some water: The provider’s verbal statement is not an official order. The student nurse must ensure a written order is in place before implementing dietary changes.
B. Contact dietary to order the patient a full liquid meal: The student nurse cannot place orders. They must first verify that the provider has documented the order.
C. Request that the provider write the order in the chart: Orders must be documented in the patient’s medical record before they can be carried out. The student nurse should ensure the provider formally writes the order.
D. Record the information in the patient chart: The student nurse cannot chart an order that has not been officially written by the provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Elbows and behind the ears: These areas are not primary pressure points in a seated position.
B. Coccyx and back of the skull: The coccyx is a pressure point when lying down, but this patient is sitting most of the time.
C. Heels and trochanter: Heels are at risk in supine patients, but this patient is primarily sitting.
D. Sacrum and ischium: The sacrum and ischium (sit bones) bear the most pressure in a seated position, making them highly vulnerable to skin breakdown.
Correct Answer is D
Explanation
A. "These help to get rid of clots that are in your legs that can cause problems." Pneumatic compression devices prevent clots; they do not treat existing ones.
B. "These help circulate air and provide compression to your legs." While compression is correct, the reference to circulating air is misleading, as the device improves blood circulation, not air movement.
C. "These will help you to perform passive range of motion to your legs." Pneumatic compression devices do not move the legs; they promote circulation through intermittent pressure.
D. "These will help to reduce the risk of developing a venous thrombus." Pneumatic compression devices improve venous circulation and prevent deep vein thrombosis (DVT), making this the most accurate response.
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