Correct Answer: D

Rationale: Informing the provider is important but not the first step; the immediate priority is ensuring the client’s safety for surgery. Documenting the incident is necessary but secondary to addressing the clinical need. Preparing an incident report is for quality improvement and not the immediate action. Obtaining the client's type and cross-match is the first action to ensure compatible blood is available for surgery, directly addressing the oversight.

Correct Answer: A

Rationale: Tuberculosis requires airborne precautions due to its transmission via tiny airborne droplets. Pneumonia and strep throat require droplet precautions, while shigella requires contact precautions.

Correct Answer: C

Rationale: Preparing an incident report is an important step in documenting the oversight and ensuring that similar errors are prevented in the future. However, it is not the immediate priority when addressing the current situation. The primary focus should be on ensuring the client's safety and the timely completion of the necessary preoperative procedures. Canceling the client's surgery is a drastic measure that should only be considered if there is no other way to ensure the client's safety. Before taking such a step, the nurse should explore all other options to rectify the situation, such as notifying the operative team and the provider. This allows for a collaborative approach to determine the best course of action. Notifying the operative team of the omission is the most appropriate action. This ensures that all relevant healthcare providers are aware of the situation and can take the necessary steps to address it. The operative team can then decide whether to proceed with the surgery as planned or to delay it until the type and crossmatch are completed. This collaborative approach prioritizes the client's safety and ensures that all necessary precautions are taken. Giving the client another blood consent form to sign is not directly related to addressing the overlooked prescription for a type and crossmatch. While obtaining informed consent is crucial, it does not resolve the immediate issue of ensuring that the client has the correct blood type and crossmatch completed before surgery. The focus should be on rectifying the oversight and ensuring that all preoperative requirements are met.

Correct Answer: B

Rationale: You should be fine as long as you check your blood glucose before eating.' This response is not ideal because it oversimplifies the complexity of managing insulin-dependent diabetes. Blood glucose monitoring should be done at various times throughout the day, including before meals, after meals, and possibly before bedtime, to ensure proper management and avoid complications. Limiting checks to just before meals may not provide a comprehensive picture of the client's glucose levels. 'We can discuss several scheduling options for monitoring your blood glucose.' This response is the most appropriate as it acknowledges the client's concern and offers a collaborative approach to finding a solution. It allows the nurse to tailor the blood glucose monitoring schedule to fit the client's busy lifestyle, ensuring better adherence and management of diabetes. This approach also empowers the client by involving them in their care plan. 'You should reorganize your schedule around your blood glucose monitoring.' While it is important for the client to prioritize their health, this response may come across as dismissive of the client's busy schedule. It does not offer practical solutions or flexibility, which are crucial for long-term adherence to diabetes management. A more supportive and collaborative approach would be more effective. 'Your provider will set up a schedule for when you should monitor your blood glucose.' This response places the responsibility solely on the healthcare provider and does not address the client's immediate concern about fitting blood glucose monitoring into their busy schedule. While the provider's input is important, the nurse should also offer immediate support and practical solutions. Collaborative planning is key to effective diabetes management.

Correct Answer: D

Rationale: Constricted pupils relate to opioid use, not chronic pain itself. Bradycardia isn’t typical; diaphoresis is more acute. Depression is a common long-term effect of chronic pain due to its impact on quality of life.