An incapacitated older adult with dementia is brought to the emergency department by a rescue squad after falling and breaking an arm. When the patients children arrive, they are adamantly against the patient having any medical care and insist that prayer will heal the broken arm. What action by the nurse is most appropriate?

Check facility policies and contact the hospital social worker

Allow the family to pray with the patient then escort them to the waiting room

Call the police who can force the family to accept medical care

Call security to keep the family from interfering with medical care

Answer and Explanation

The Correct Answer is A

A.   When faced with a situation where a patient's family refuses medical care, it is important to follow the facility's policies and procedures. In many cases, the hospital social worker can be a valuable resource in helping to resolve such situations. The social worker can provide support to the family, help them understand the importance of medical care, and advocate for the patient's best interests.
B.   While it is important to respect the family's cultural and religious beliefs, it is also important to ensure that the patient receives the necessary medical care. Allowing the family to pray with the patient is appropriate, but the patient should still receive medical attention for their broken arm.
C.   This is not a appropriate course of action. While the patient has a right to receive medical care, it is important to approach the situation with respect and compassion, and to try to work with the family to find a solution that is in the best interests of the patient.
D.   This could escalate the situation and make it more difficult to resolve. It is important to approach the situation with empathy and understanding, and to try to work with the family to find a solution that is acceptable to all parties.

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Correct Answer is D

Explanation

A. While dietary changes can be helpful for managing constipation, it's still important for the patient to consult with their healthcare provider before using laxatives.
B. This statement is partially correct, but it's important to note that not all laxatives interact with all medications. The patient should consult with their healthcare provider to determine if a laxative is safe and appropriate for them.
C. While it's important for the patient to be aware of the potential side effects of laxatives, the most important step is to consult with their healthcare provider to determine if a laxative is safe and appropriate for them.
D. While constipation can be a bothersome issue, it's important for patients to consult with their healthcare provider before using over-the-counter laxatives. This is especially true for patients who are already taking prescription medications, as laxatives can interact with other drugs and potentially cause adverse effects.

A. 0.75 tablet B. 1 tablet C. 0.5 tablet D. 0.25 tablet

Correct Answer is C

Explanation

Number of tablets = Desired dose (mg) / Tablet strength (mg) Plugging in the given values:

Number of tablets = 0.125 mg / 0.25 mg/tablet Number of tablets = 0.5 tablet

Therefore, the nurse should prepare 0.5 tablet of digoxin to administer to the patient.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Your patient reports frequent constipation as a result of prescription medications and asks the nurse for advice about using a dally over-the-counter laxative. The most appropriate response by the nurse is to:

Correct Answer is D

Explanation

A patient with congestive heart failure is scheduled to receive 0.125 mg of digoxin. The nurse has on hand 0.25 mg/tablet. How many tablet(s) should the nurse prepare to administer?

Correct Answer is C

Explanation

To best minimize patient anxiety and help ensure a successful history assessment interview, the geriatric nurse first:

The nurse responsible for administering medications to the residents of a long-term care facility shows an understanding of the risk of injury this population experiences when

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The geriatric nurse recognizes that the bodys homeostatic mechanisms may be compromised in the:

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