A nurse is caring for a client who is postoperative and is exhibiting signs of hemorrhagic shock. The nurse notifies the surgeon, who tells the nurse to continue to measure the client's vital signs every 15 min and to report back in 1 hour. Which of the following actions should the nurse take next?

Correct Answer: D

Rationale: The correct answer is D: Notify the nursing manager. The nurse should escalate the situation to the nursing manager because the surgeon's instructions may not be appropriate for a client in hemorrhagic shock. The nurse needs to advocate for the client's safety and ensure prompt and appropriate intervention. Consulting the charge nurse may not be sufficient, and documenting the instructions or completing an incident report does not address the immediate need for proper medical intervention.

Correct Answer: A

Rationale: Rationale: Option A is correct because medication reconciliation involves comparing the client's home medications with the provider's prescriptions to ensure accuracy and prevent medication errors. This step helps identify discrepancies and allows for proper management of the client's medication regimen. Summary: - Option B is incorrect as it does not address the process of medication reconciliation. - Option C is incorrect as calling the pharmacy does not directly relate to verifying medication information. - Option D is incorrect as verifying the client's name on their identification bracelet does not specifically pertain to medication reconciliation.

Correct Answer: D

Rationale: The main purpose of the NCLEX examination is to ensure the safety of the public. The exam assesses if a candidate has the knowledge and skills necessary to provide safe and effective nursing care. It is designed to protect the public by ensuring that only competent individuals are granted nursing licensure. This is crucial in maintaining high standards of healthcare and safeguarding patients' well-being. Incorrect answers: A: Ensuring that individuals have passed nursing classes is not the main purpose of the NCLEX. Passing nursing classes is a prerequisite for taking the exam but not its primary goal. B: Providing assurance that nursing schools are part of the service agency is not the main purpose of the NCLEX. The exam focuses on individual competency rather than accrediting nursing schools. C: Enabling potential students to determine the best nursing schools is not the main purpose of the NCLEX. The exam does not rank or rate nursing schools; its primary aim is to evaluate individual readiness for nursing practice.

Correct Answer: D

Rationale: The correct answer is D because ethical principles can serve as the foundation for laws. Ethical principles often guide the creation of laws to ensure societal order and justice. Laws are based on ethical values and aim to regulate behavior accordingly. Therefore, ethical principles can be seen as a standard for measuring actions, influencing the development and enforcement of laws. Summary: A: Incorrect. The government enforces laws, not ethics. B: Incorrect. Laws are based on ethics, but they are not the same. C: Incorrect. Ethics are broad principles, not specific rules.

Correct Answer: C

Rationale: The correct answer is C because the director should follow the institution's formal process for reporting and handling practices that jeopardize patient safety. This is crucial to maintain high standards of patient care and ensure accountability. Choice A is incorrect as tolerating incompetence can lead to serious consequences for patient safety. Choice B is incorrect as incompetence can impact patient outcomes and overall quality of care. Choice D is incorrect as nurse practice acts may provide guidelines but the institution's specific process should be followed to address incompetence effectively.