The nurse is assigned to a 52-year-old patient who is admitted for elective cholecystectomy. While undergoing preoperative evaluation, the patient mentions to the nurse an allergy that is not documented in the health record. Which action by the nurse is most appropriate?

Directly inform the surgical team. If a new undocumented allergy is discovered by the nurse, the most appropriate action is to inform the surgical team, specifically the anesthesiologist/nurse anesthetist, prior to transport or administering any medications. Administering medications without making the surgical team aware of a new undocumented allergy is unsafe. Simply making a note in the patient’s health record is not sufficient. Notification of the OR charge nurse is not appropriate since they are not directly overseeing the care of this patient during surgery.

The nurse is assigned to a 52-year-old patient who is admitted fo...

Category: Safety and Infection Control
Difficulty: 3

Topics: Communication & Documentation Medication and Blood Products Disease Prevention Health Care Ethics, Law, and Policy Health Care Quality Immunity Inflammation Nursing Interventions

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The nurse is providing education to a patient with localized shingles. Which statement by the patient indicates the teaching was effective?

Question Type: Multiple Choice - Select One
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The 68-year-old patient is admitted after 5 days of extremely foul-smelling watery diarrhea with a temperature of 37.9°C, heart rate 118 bpm, and blood pressure 98/52 mmHg. The patient’s recent medical history is significant for being treated 2 weeks ago for a diverticulitis flare-up. Upon assessment, the patient is pale, diaphoretic, and has a tense, distended abdomen that he does not guard with palpation. Lab studies reveal an elevated creatinine (1.9 mg/dL), high white blood cell count (20,000 cells/mL), and normal hemoglobin and hematocrit. Which intervention is most important to prevent the spread of this condition to other patients?

Question Type: Multiple Choice - Select One
Difficulty: 10

The nurse is admitting a patient positive for human immunodeficiency virus (HIV). A fellow nurse states, “This patient is on contact precautions for his HIV status. You need to wear an isolation gown in addition to your gloves.” Which response by the nurse is most appropriate?

Question Type: Multiple Choice - Select One
Difficulty: 4

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