Nokea
During an evening shift on a medical unit, the only nurse on the unit is busy with an unstable client. The unit clerk, who is also both a certified medication aide and an unlicensed assistive personnel (UAP), reports to the nurse that a healthcare provider is on the telephone and wishes to prescribe an as needed (PRN) dose of an oral over-the-counter laxative for a client who is constipated. Which instruction should the nurse provide the unit clerk?
- A. Tell the healthcare provider the nurse will return the phone call as soon as possible.
- B. Remain with this client and monitor the vital signs while the nurse takes the call.
- C. Ask the healthcare provider to remain on 'hold' until the nurse can confirm the prescription.
- D. Be sure to write down what is prescribed and then repeat it back to the healthcare provider.
Correct Answer: A
Rationale: The nurse must receive prescriptions directly, prioritizing the unstable client's care.
You may also like to solve these questions
An older female client who was recently widowed has become increasingly confused and disoriented. Her family tells the healthcare provider's office nurse that it is imperative for their mother to be admitted to the hospital for medical evaluation. The client is a member of a managed healthcare plan. Which information is best for the nurse to provide this family?
- A. The client is grieving normally in response to her husband's death and hospitalization is not necessary.
- B. Managed care providers have mandatory pre-certification requirements for hospitalization.
- C. Healthcare costs are escalating because clients want to have diagnostic testing conducted in the hospital.
- D. Managed healthcare plans do not pay for any in-hospital medical evaluations.
Correct Answer: B
Rationale: Informing the family about pre-certification requirements explains the process for hospital admission under the managed care plan.
An older client who had a hernia repair 12 hours ago suddenly becomes agitated, pulls out the intravenous (IV) catheter, and staggers out into the corridor, demanding to be set free. The nurse assists the client back to bed and re-establishes the IV access. Which intervention is most important for the nurse to implement prior to leaving the client's room?
- A. Discuss with the family about placing the client in a skilled care facility.
- B. Determine if the client is manifesting other neurologic changes.
- C. Apply a restraining device to prevent the client from self injury.
- D. Request family members report when the client is left alone.
Correct Answer: B
Rationale: Assessing for neurologic changes identifies potential causes of agitation, such as delirium or hypoxia.
The nurse is assisting with a lumbar puncture on a client. During the procedure, a code is called for another client on the unit who is experiencing respiratory arrest. Which action should the nurse take?
- A. Call for an assistant.
- B. Respond to the code.
- C. Close the room door.
- D. Finish the procedure.
Correct Answer: A
Rationale: Calling for an assistant maintains the lumbar puncture's safety while allowing the nurse to address the code promptly.
When triaging emergency room clients, which client should the nurse assess first?
- A. A child who has had a cold for two days and now is coughing up green sputum.
- B. A male adolescent who has been vomiting for the past 12 hours and describes himself as very weak.
- C. A female client with severe right lower abdominal pain who is febrile and vomiting.
- D. An elderly client with peripheral vascular disease who is complaining of severe leg pain when ambulating.
Correct Answer: C
Rationale: Severe abdominal pain with fever and vomiting suggests a potentially life-threatening condition like appendicitis, requiring immediate assessment.
A client with life-threatening injuries from a gunshot wound to the abdomen is mechanically ventilated and sedated. The client has a large family present who are asking multiple and repetitive questions. Which intervention should the nurse implement first?
- A. Let each family member ask a question one at a time.
- B. Request the healthcare provider to speak with the family.
- C. Page a chaplain on call to be present for questions.
- D. Ask the family to identify a specific spokesperson.
Correct Answer: D
Rationale: Identifying a spokesperson streamlines communication, reducing confusion and repetitive questions.