Author Question: When preparing the room for a new client's admission, the nurse's priority action is which of the ... (Read 80 times)

Haya94 · **on:** Jul 22, 2018

When preparing the room for a new client's admission, the nurse's priority action is which of the following?

1. Compile forms in the the client's chart, and have it ready in the room.
2. Obtain a wheelchair, and go to Admissions to get the client.
3. Check the client's chart for physician's orders.
4. Ensure that the room is adequately prepared for the client.

Question 2

The nurse working in an outpatient surgical center admits a client who is to have a basal cell carcinoma removed from the left temple. While collecting data for the nursing history, the nurse assesses that the client understands of the diagnosis.

The client says, I had a friend die from skin cancer, and I know this is probably fatal, but I'd like to treat it as aggressively as possible to improve my chances of survival. The nurse's best response is: 1. You are scared, and that is a normal response to this diagnosis, but many people respond to chemotherapy.
2. Tell me more about your friend's condition.
3. Basal cell carcinomas are generally slow-growing, and do not often spread. Your friend might have had malignant melanoma or squamous cell carcinoma.
4. You won't know what your likelihood of survival is until after the doctor removes the cancerous cells and examines them under a microscope.

Leostella20 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

4
Rationale: The first priority is to see that the client has a clean, properly prepared room upon arrival to the unit. This will help the client feel welcome and will improve the efficiency of the admission process. The chart will come with the client with the physician's orders, so it would not be available to the nurse until the client arrives. The client is transported to the unit by the Admitting Department, whether that is the Emergency Department or the business office.

Answer to Question 2

3
Rationale: Basal cell carcinomas are slow-growing, and rarely metastasize, so the client is unlikely to die from this form of skin cancer. Malignant melanomas are the most aggressive, with the highest likelihood of metastasis and poor outcomes. The remaining options do not correct the client's mistaken understanding about the diagnosis.