The nurse is calling a health care provider to give an update on a client's condition. The nurse receives a telephone order and, when requests that the order be read back to the provider for confirmation, the provider states, "I don't have time for this." What is the most appropriate action by the nurse?

Don't follow through with the order, and delete it from the record

Inform the provider, to ensure safety for the client, it must be read back

Proceed with the order since the nurse heard it the first time

Ask the secretary to call the provider back and take the order

Answer and Explanation

The Correct Answer is B

A. The nurse should never delete or ignore a provider’s order without proper communication and documentation.
B. The nurse must insist on reading back the order to ensure accuracy and client safety, even if the provider is impatient. This is a standard safety protocol to prevent errors.
C. Proceeding without read-back risks misunderstanding the order, which could harm the client.
D. Asking the secretary to take the order bypasses the nurse’s professional responsibility and does not guarantee safe communication.

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Correct Answer is B

Explanation

A. Renal insufficiency does not directly increase risk for foot problems as much as diabetes does.
B. Type 2 diabetes significantly increases the risk of foot difficulties due to potential neuropathy and poor circulation, making this client most at risk.
C. Paraplegia increases risk for skin breakdown but diabetes poses a higher risk for foot ulcers and infections.
D. Coronary artery disease affects the heart but is less directly linked to foot complications compared to diabetes.

A. a client with pneumonia B. a client with controlled hypertension C. a client with rheumatoid arthritis D. a client with the flu

Correct Answer is C

Explanation

A. Pneumonia typically causes acute pain or discomfort, not chronic pain.
B. Controlled hypertension does not generally cause pain.
C. Rheumatoid arthritis is a chronic inflammatory condition that often causes persistent, chronic pain.
D. The flu causes acute symptoms, including pain, but this is usually short-term, not chronic.

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Naxlex Comprehensive Predictor Exams

Which client is most at risk for foot difficulties?

Correct Answer is B

Explanation

Which client would be classified as having chronic pain?

Correct Answer is C

Explanation

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The nurse is caring for a client who has been prescribed an enteric-coated drug. Which should the nurse include when teaching the client proper administration of this drug?

A home care nurse is educating a client with diabetes on how to self-administer insulin. Which teaching point should the nurse include in the education plan?

The nurse working at a long-term care facility supervises while the unlicensed assistive personnel (UAP) bathes an older adult client. The nurse determines the UAP requires intervention when the UAP:

client scheduled for open heart surgery tells the nurse he does not want to be "saved" if he dies during surgery. What should the nurse do next?

Which factor is the most important to consider when caring for clients with limited income?

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A nurse does not assist with ambulation of a postoperative client on the first day after surgery. The client falls and fractures a hip. What charge might be brought against the nurse?