NURS 101 Final Exam: NURS 101 Final Exam Study Guide: Questions & Answers: Updated Solution

A nurse calls a physician regarding a change in a client's condition. The physician gives orders over the telephone for arterial blood gases (ABGs) to be drawn stat. which is the most important safety consideration when obtaining the order? 1. Writing the order down & reading it back to the physician. 2. Calling the respiratory therapist stat to draw the ABGs 3. Giving the order stat to the health unit coordinator to place in the computer 4. Writing down the order for the ABGs immediately (- Correct answer # 1 - The Joint Commission National Patient Safety Goals requires telephone orders to be written down & read back. This action will validate the accuracy of the order received. Although the order is state, calling the respiratory therapist or giving the order to the health unit coordinator is not the most important safety consideration. Writing down the order without reading it back does not met the Joint Commission safety goal requirements. A client is admitted to a surgical unit. The client has multiple rings, a watch, and $65 in cash. What is the safest action for a nurse to take regarding the valuables?1. Allowing the client to keep the items so they will be safeguarded by the client 2. Collecting the items and placing them in the client's room closet 3. Giving the money to the client's spouse and allowing the client to keep the jewelry 4. Collecting the items according to hospital policy for safekeeping (- Correct answer # 4 - hospital policy will determine if the items were handled appropriately in the case of loss 1, 2 & 3 - incorrect - Although the hospital policy may allow the items to stay with the client, to be in the room, or to be sent home with the spouse the safest action is to follow hospital policy A client has an advance health care directive on file at a hospital that identifies a friend as the legal healthcare agent. A nurse is to obtain informed consent for the client to have an exploratory laparotomy. Because of sedation, the client is unable to sign the form or give verbal consent. Who should provide consent for this client? 1. The client's spouse 2. The client's oldest adult child 3. Since the client is unable to give consent, the surgery cannot be performed. 4. The clients ‘durable power of attorney for healthcare.(- Correct answer # 4 - since the client has a durable power of attorney for health care that person is designated to make healthcare decisions when the client is unable to do so. 1 & 2 - incorrect - The client's spouse & oldest adult child would not be able to give consent. 3 - incorrect - Even though the client is unable to provide consent, the surgery may be performed by following the legal process for obtaining consent.