Family members are in the patient’s room when the patient has a cardiac arrest and the staff starts resuscitation measures. Which action should the nurse take next?
- A. Keep the family in the room and assign a staff member to explain the care given and answer questions.
- B. Ask the family to wait outside the patient’s room with a designated staff member to provide emotional support.
- C. Ask the family members whether they would prefer to remain in the patient’s room or wait outside the room.
- D. Tell the family members that patients are comforted by having family members present during resuscitation efforts.
Correct Answer: C
Rationale: The correct answer is C because it involves patient-centered care and respects the family's preferences. By asking the family members whether they would prefer to remain in the patient's room or wait outside, the nurse acknowledges their needs and allows them to make an informed decision based on their comfort level. This empowers the family members and promotes a supportive environment during a stressful situation.
Choice A is incorrect because it assumes that keeping the family in the room without their input is the best approach, which may not be the case for all families. Choice B is incorrect because asking the family to wait outside without considering their preferences may not be the most supportive action. Choice D is incorrect because it makes a blanket statement about patient comfort without considering individual family dynamics and preferences.
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Which of the following is a National Patient Safety Goal? a(bSirebl.ceocmt /taelslt that apply.)
- A. Accurately identify patients.
- B. Eliminate use of patient restraints.
- C. Reconcile medications across the continuum of care.
- D. Reduce risks of healthcare-acquired infection.
Correct Answer: A
Rationale: Rationale: Accurately identifying patients is a National Patient Safety Goal to prevent errors in patient care. Proper patient identification ensures correct treatments and medications are given, reducing harm. Restraint elimination, medication reconciliation, and infection reduction are important goals but not specific National Patient Safety Goals. Accurate patient identification directly addresses patient safety concerns.
A nurse needs to communicate with a patients family regarding consent to treat an unconscious patient in the ICU. Which member of the group should the nurse approach first?
- A. A man she recognizes as the patients brother
- B. A teenage boy who approaches the nurse
- C. A woman who originally escorted the patient in
- D. A woman in the group whom the others look at and call over when the nurse approaches
Correct Answer: C
Rationale: The correct answer is C: A woman who originally escorted the patient in. This choice is correct because she is most likely the person responsible for the patient's care and thus likely has legal authority to make medical decisions on behalf of the patient. The other choices are incorrect because simply being recognized as the patient's brother (A), being a teenage boy who approaches the nurse (B), or being a woman whom the others look at and call over (D) does not necessarily indicate that they have the legal authority to make medical decisions for the unconscious patient.
While family members are visiting, a patient has a respiratory arrest and is being resuscitated. Which action by the nurse is best?
- A. Ask family members if they wish to remain in the room during the resuscitation.
- B. Take the family members quickly out of the patient's room and remain with them.
- C. Assign a staff member to wait with family members just outside the patient's room.
- D. Encourage family members to stay, but advise them on the potential stress of the situation.
Correct Answer: A
Rationale: The correct answer is A because it respects the patient's right to privacy while also acknowledging the family's presence. By asking family members if they wish to remain in the room, the nurse allows them to make an informed decision based on their comfort level. This approach fosters open communication and shows respect for the family's emotions.
Choice B is incorrect because abruptly removing family members can increase their distress and feelings of powerlessness. Choice C is incorrect as it places the burden of support solely on a staff member, potentially isolating the family from the situation. Choice D is incorrect as it assumes family members should stay without considering their preferences or emotional well-being.
The wife of a patient who is hospitalized in the critical car e unit following resuscitation for a sudden cardiac arrest at work demands to meet with the nu rsing manager. She states, “I want you to reassign my husband to another nurse. His current n urse is not in the room enough to make sure he is okay.” The nurse recognizes that this respo nse most likely is due to what unspoken need?
- A. Desire to pursue a lawsuit if the assignment is not chanagbierbd.c.o m/test
- B. Inability to participate in the husband’s care.
- C. Lack of prior experience in a critical care setting.
- D. Sense of loss of control of the situation.
Correct Answer: D
Rationale: The correct answer is D: Sense of loss of control of the situation. The wife's demand to reassign the nurse indicates her need for control over her husband's care, as she may feel overwhelmed by the sudden cardiac arrest and hospitalization. By requesting a different nurse, she seeks to regain a sense of control and assurance. The other choices are incorrect because: A does not align with the wife's immediate concern, B does not explain her request for a nurse reassignment, and C does not address her emotional response to the situation.
A male client who has been taking propranolol (Inderal) for 18 months tells the nurse that the healthcare provider discontinued the medication because his blood pressure has been normal for the past three months. Which instruction should the nurse provide?
- A. Obtain another antihypertensive prescription to avoid withdrawal symptoms.
- B. Stop the medication and keep an accurate record of blood pressure.
- C. Report any uncomfortable symptoms after stopping the medication.
- D. Ask the healthcare provider about tapering the drug dose over the next week.
Correct Answer: D
Rationale: The correct answer is D: Ask the healthcare provider about tapering the drug dose over the next week. This answer is correct because propranolol is a beta-blocker, and abrupt discontinuation can lead to rebound hypertension, angina, or even myocardial infarction due to the sudden withdrawal of the medication. Tapering the drug dose over time allows the body to adjust gradually and reduces the risk of these adverse effects.
Choice A is incorrect because obtaining another antihypertensive prescription is not necessary if the client's blood pressure has been normal for the past three months. Choice B is incorrect because abruptly stopping the medication without tapering can lead to withdrawal symptoms. Choice C is incorrect because simply reporting uncomfortable symptoms without taking appropriate action (tapering the drug dose) is not addressing the potential risks associated with abrupt discontinuation of propranolol.