Try Naxlex NCLEX-RN (Free-Trial)

The nurse is caring for an elderly male client, who will be discharged from the hospital with new medications.
The nurse begins discharge teaching about the new medications.
The patient seems to be disinterested and states, "Please share this information with my wife.
She knows all my medications.”. What action would the nurse take?

Remind the patient that he needs to be in charge of knowing about his own medications as it is not his wife's responsibility.

Document the patient stated "Please share all this information with my wife.

Continue to teach the patient as he is the one being discharged and avoid teaching the wife.

Ask the patient, "Why does your wife know about your medications instead of you?".

Answer and Explanation

The Correct Answer is C

Choice C rationale:

In this situation, the nurse should continue to teach the patient about his medications despite his disinterest. It is essential for the patient to be knowledgeable about his own medications, as he will be responsible for taking them once discharged. While involving family members in the teaching process can be beneficial, the primary responsibility lies with the patient. Documenting the patient's request is also important for the record, but it does not replace the need for the patient to be informed about his medications.

Choice A rationale:

Reminding the patient of his responsibility is a good initial approach, but it should be followed by continued teaching to ensure the patient understands his medications thoroughly.

Choice B rationale:

Documenting the patient's request is important, but it does not address the patient's lack of interest in learning about his medications. The nurse should still provide education to the patient.

Choice D rationale:

Asking the patient why his wife knows about his medications is confrontational and may not be well-received by the patient. It does not address the primary issue, which is the patient's disinterest in learning about his medications.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

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

Explanation

Choice A rationale:

Restrain the patient with a chemical sedative. Rationale: Restraints, especially chemical sedatives, should be avoided whenever possible due to the risk of complications and patient distress. Restraints can lead to decreased mobility, increased agitation, and other adverse effects. They should only be used as a last resort and with appropriate justification, such as ensuring patient or staff safety in emergency situations.

Choice B rationale:

Encourage the patient to use grab bars located near toilets and showers. Rationale: Installing grab bars in bathrooms helps prevent falls by providing support and stability for patients, especially those with mobility issues. Encouraging their use promotes patient independence and safety while performing essential activities of daily living.

Choice C rationale:

Place the call light within the patient's reach. Rationale: Placing the call light within the patient's reach ensures that the patient can easily summon assistance when needed. Prompt response to patient requests can prevent accidents and falls by addressing the patient's needs in a timely manner.

Choice D rationale:

Conduct rounds every four hours. Rationale: Conducting regular rounds allows healthcare providers to assess the patient's condition, address their needs, and identify potential fall risks. However, the specific frequency of rounds may vary based on the patient's condition and the healthcare facility's policies. Some patients may require more frequent monitoring, especially if they are at a higher risk of falling.

Choice E rationale:

Apply brakes on wheelchairs and beds. Rationale: Applying brakes on wheelchairs and beds prevents unintended movement, enhancing patient safety and reducing the risk of falls. It ensures that the patient's mobility aids remain stationary, providing stability when the patient is transferring or repositioning.

A. The nurse transfers responsibility for completion of the task to the UAP but is accountable for the outcome. B. Nurses do not have authority to delegate interventions to a UAP. C. The UAP is responsible and accountable for his or her own actions.

Correct Answer is A

Explanation

Choice A rationale:

When a nurse delegates a specific intervention to unlicensed assistive personnel (UAP), the nurse transfers the responsibility for completing the task to the UAP. However, the nurse remains accountable for the outcome. Delegation does not absolve the nurse of their accountability; instead, it means that the nurse trusts the UAP to perform the task safely and effectively under their supervision. This approach allows healthcare teams to work collaboratively, improving efficiency and patient care outcomes.

Choice B rationale:

Nurses do have the authority to delegate interventions to UAP, but they must do so responsibly and within the scope of practice. Improper delegation or delegating tasks that UAP are not trained to perform can lead to adverse outcomes and legal consequences.

Choice C rationale:

While the UAP is responsible for their own actions, the nurse remains accountable for the overall patient care. Nurses must ensure that tasks are delegated to competent individuals and provide adequate supervision and guidance. The nurse cannot completely transfer all responsibility to the UAP without being accountable for the outcome.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What interventions should the nurse include in the plan of care for a patient on fall precautions? Select all that apply.

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

Explanation

A nurse delegates a specific intervention to unlicensed assistive personnel (UAP). What implications does this have for the nurse?

Correct Answer is A

Explanation

The nurse is instructing a patient about safety with oxygen in the home setting.What would the nurse include in the instructions?

The nurse is performing discharge teaching for a patient who has had major abdominal surgery. Which statement or question by the nurse would be appropriate?

The nurse has an order for 27 mg of Augmentin three times daily for a 6-year-old. The pharmacy sends a vial labeled 20 mg/1 mL when reconstituted with 2.3 mL of saline. How many mL will the nurse administer per day?

The nursing staff are caring for a confused patient who is at risk for falling.What action by the nurse would be appropriate in order to avoid restraining the patient?

A nurse is caring for a terminally ill patient with questions regarding end-of-life care options.The nurse provides an informational packet to the patient, and discusses the various care options available.The nurse is demonstrating which professional value?

The nurse completes an incident report after a patient falls in the hallway while ambulating.The nurse is aware that the primary purpose of this incident report is what?

The nurse is educating a patient about the use of a cane due to weakness of the left leg.Which statement by the patient would indicate teaching has been effective?