An order written by the physician is reviewed by the nursing staff, and no one is familiar with the treatment instructions. A nurse who is recently hired knows that this treatment is covered by the states nurse practice act.
What is the nurses’ best course of action?
Call the physician to ask for clarification.
Check the states nurse practice act.
Refer to the facility’s policy and procedures to determine the course of action.
Contact the nursing supervisor for approval to carry out treatment.
The Correct Answer is C
When faced with an unfamiliar treatment instruction, it is important for the nurse to consult the facility’s policies and procedures to determine the appropriate course of action. These policies and procedures provide guidance on how to carry out treatments safely and effectively and can help ensure that the patient receives the best possible care.
While it may also be appropriate for the nurse to call the physician for clarification (a), check the state’s nurse practice act (b), or contact the nursing supervisor for approval (d), consulting the facility’s policies and procedures should be the first step in determining the appropriate course of action.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a. To maintain silence and be attentive to the client’s nonverbal communication and let the client gather his/her thoughts.
The best response for the nurse in this situation is to maintain silence and be attentive to the client's nonverbal communication. This allows the client to gather her thoughts and continue the conversation when she is ready. Interrupting the silence with a question or trying to push the client to share her feelings may cause her to withdraw further. It is important for the nurse to respect the client's pace and provide a safe and supportive environment for her to express her thoughts and feelings. Therefore,
Option a is the correct answer.
Correct Answer is D
Explanation
This statement may give the client false reassurance because it dismisses the client's concerns without acknowledging or addressing them. It is important for the nurse to listen to the client's concerns and provide appropriate interventions and support rather than simply dismissing their worries with a blanket statement. The other
Options (a, b, and c) are observations of the client's behavior or appearance, and do not provide false reassurance.
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