The nurse reviews a healthcare provider9s (HCP) order and finds that the medication amount is greater than the standard dose. What should the nurse do?

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Question 1 of 5

The nurse reviews a healthcare provider9s (HCP) order and finds that the medication amount is greater than the standard dose. What should the nurse do?

Correct Answer: B

Rationale: The correct answer is B: Call the HCP to discuss the order. First, the nurse should verify the order and confirm the discrepancy. Calling the HCP allows for clarification and potential adjustment if necessary. Informing the nursing supervisor (A) may delay necessary action. Giving the drug as ordered by the HCP (C) could lead to potential harm due to the higher dose. Giving the standard dose (D) without clarification may not address the issue of the incorrect dosage. Therefore, option B is the most appropriate course of action to ensure patient safety and adherence to best practices.

Question 2 of 5

Which step of the nursing process involves setting long-term goals and short-term expectations?

Correct Answer: B

Rationale: The correct answer is B: Planning. In the nursing process, planning involves setting long-term goals and short-term expectations based on the assessment data gathered. This step determines the best course of action to achieve desired outcomes. Assessment (A) involves collecting data, not goal-setting. Implementation (C) is carrying out the plan, not goal-setting. Evaluation (D) is assessing the effectiveness of the plan, not goal-setting. Therefore, B is the correct choice for setting goals and expectations in the nursing process.

Question 3 of 5

An older adult client has been moved from home to a skilled nursing facility (SNF). Which behavior, demonstrated by this client, indicates a problem with daily functioning?

Correct Answer: D

Rationale: The correct answer is D because the client's refusal to use the prescribed walker indicates a problem with daily functioning. Using a walker is crucial for mobility, safety, and independence in a SNF setting. Not using the walker can lead to increased risk of falls and potential injuries, affecting the client's ability to perform daily activities. A: Eating 80% of meals shows adequate nutrition intake. B: Watching TV with others is a social activity. C: Wanting to wear one's own clothing is a personal preference and does not directly impact daily functioning.

Question 4 of 5

Which intervention takes priority for the client receiving hospice care?

Correct Answer: D

Rationale: The correct answer is D because in hospice care, the primary goal is to keep the client comfortable and manage their symptoms, particularly pain. Administering pain medication ensures the client's quality of life and dignity are maintained. Turning and repositioning (choice A) is important but not the priority. Providing meals (choice B) and assisting with mobility (choice C) are important for overall well-being but not the priority in hospice care, where comfort is paramount.

Question 5 of 5

The nurse cares for a pre-operative client who is unable to accept blood products due to her religion. What is this client9s religion?

Correct Answer: D

Rationale: The correct answer is D: Jehovah's Witnesses. This religion prohibits the acceptance of blood transfusions based on their interpretation of biblical teachings. They believe that blood is sacred and should not be consumed or transfused. Mormons (A) do not have specific restrictions on blood transfusions. Buddhism (B) and Catholicism (C) do not have prohibitions against blood transfusions.

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