The home health nurse notes the client has gained 5 pounds overnight and has increased edema in the lower extremities. The nurse is calling the physician to obtain an order over the phone for furosemide medication. The physician gives an order and the nurse enters the order in the client's medical record. What will the nurse do next after writing down the order?

Call the pharmacy and see if the medication is available.

Initiate the prescription and administer the medication.

Read back the order to the physician.

Draw the medication into an appropriately labeled syringe.

Answer and Explanation

The Correct Answer is C

Answer and Explanation

The correct answer is choice C, Read back the order to the physician.

After obtaining the physician's order over the phone, the nurse should read back the order to the physician to confirm accuracy and prevent medication errors.

This process ensures that the order is correctly transcribed and the right medication, dose, and route are given to the patient. Calling the pharmacy to check medication availability is not the nurse's responsibility, and initiating the prescription and administering the medication is inappropriate without confirming the order with the physician. Drawing up the medication into an appropriately labeled syringe before confirming the order with the physician is also inappropriate and can lead to medication errors. Therefore, reading back the order to the physician is the most appropriate action for the nurse to take.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Free Nursing Study Resources

Correct Answer is ["B","C","D"]

Explanation

The correct answer is choices B, C, and D.

When assessing respiratory rate, it is important to count for a full respiratory cycle, which includes both inhalation and exhalation. If the respiratory rate is regular, the nurse can count for 30 seconds and multiply by 2 to obtain the total number of breaths per minute. The nurse should also observe the depth and rhythm of the respirations, noting any abnormalities or changes. It is not recommended to pretend to take the radial pulse while assessing respiratory rate, as this can lead to inaccurate readings and is not a professional approach to care

A. The client's sense of loss can be lessened through retaining dignity and control of certain areas of their life such as ADLs. B. Allowing the client to function independently will strengthen their muscles and promote healing from the illness. C. The client's decision in regards to their care should not influence their family's decision to assist with ADLs. D. The ADLs can only be performed by a member of the healthcare team.

Correct Answer is A

Explanation

The correct answer is choice A. The rationale for self-care that the nurse should communicate to the client's family is that the client's sense of loss can be lessened through retaining dignity and control of certain areas of their life such as ADLs. Allowing the client to perform self-care activities independently, to the extent possible, promotes the client's autonomy and helps to preserve their selfesteem and sense of control over their life. As the client nears the end of life, it is important to respect their wishes and promote their comfort and well-being in every way possible.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is instructing a group of nursing students in taking vital signs and assessing a client's respiratory status. Which of the following guidelines should the nurse include? Select all that apply.

Correct Answer is ["B","C","D"]

Explanation

A nurse is caring for an alert and oriented client who has terminal lung cancer. The nurse observes the client's family assisting with all ADLs. Which of the following rationales for self-care should the nurse communicate to the family on behalf of the client?

Correct Answer is A

Explanation

The nurse is assisting with the insertion of a nasogastric tube into a client. The nurse should place the client in which position for insertion?

What would be the best way for nurses to develop an awareness of their own culture and bias?

A nurse is providing education to a client diagnosed with insomnia. What sleeppromoting techniques would the nurse suggest to help the client's condition? Select all that apply.

A dietitian is providing an in-service for the nurses on a medical-surgical unit. During the in-service, the dietitian informs the group that there are six classes of nutrients, and three supply the body with energy. Which of the following are the three energy-supplying nutrients?

What is the rationale for using continuous positive air pressure (CPAP) to treat sleep apnea?

Exhibits A nurse needs to calculate the amount of a medication based on a patient's weight in kg. If the patient weighs 130 pounds, how many kg does the patient weigh? Round to the nearest tenth.

The nurse is performing a head-to-toe assessment on a patient. The nurse uses their thumb and first finger to lift or pinch a fold of skin under the clavicle to check for skin turgor. Which of the following findings would be considered normal for this assessment?

Kübler-Ross defines five stages of psychosocial responses to dying and death. Which of the following statements is characteristic of the denial stage?