questions with accurate answers
A client receives a wrong medication. The nurse made the medication
error should take which of the following actions first?
1. Call the client's provider
2. Assess the client
3. Notify the nurse manager
4. Complete an incident report Ans✓✓✓ Assess the client
The first action the nurse should take using the nursing process is to
assess the client. The nurse must first determine whether or not the error
has caused the client any harm and also provide any relevant
interventions.
A nurse enters the room of a client who becomes verbally abusive.
Which of the following actions should the nurse take?
1. Inform the client of consequences
2. Speak slowly in a low, calm voice
3. Forbid the client from speaking in an abusive manner
4. Remain a distance of 1 ft away from the client. Ans✓✓✓ Speak
slowly in a low, calm voice
, Speaking in this manner conveys to the client that the nurse is
controlled, nonthreatening, and caring.
A nurse has completed an informed consent form with a client. The
client then states, "I have changed my mind and do not want to have the
procedure done." Which of the following actions should the nurse take?
1. Remind the client that a signed informed consent form is a legally
binding document
2. Notify the surgeon that the client wishes to withdrawal informed
consent for the procedure.
3. Inform the surgical team to cancel the client's surgery
4. Proceed with preparation of the patient for the surgical procedure.
Ans✓✓✓ Notify the surgeon that the client wishes to withdrawal
informed consent for the procedure.
The client has the right to withdraw informed consent; therefore, the
surgeon who is the one to obtain the informed consent should be notified
of the request.
A nurse identifies a pressure ulcer after a client had a long, extensive
recovery following a surgical procedure. When completing an incident
report about the pressure ulcer, the nurse should take which of the
following actions?
1. Document what the nurse believes was the cause of the ulcer
development