Author Question: A physician frequently approaches a nurse and complements her on her appearance, including making ... (Read 35 times)

james9437 · **on:** Jul 23, 2018

A physician frequently approaches a nurse and complements her on her appearance, including making comments about private areas of the nurse's body. What is the nurse's initial best action?

a. Inform the nursing supervisor of the physician's behavior.
b. Call the medical board to report the physician's behavior.
c. Document the physician's behavior and report concerns to the chief of staff.
d. Inform the physician the behavior is inappropriate and unwelcome.

Question 2

The nurse is assessing a male patient diagnosed with chronic heart failure 10 years ago. Which finding would indicate poor perfusion to the tissues?

a. Blood pressure reading of 102/64
b. Absence of hair on the lower legs and feet
c. Pulse rate of 104 beats/min
d. Shortness of breath when supine

succesfull · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

D
The first step the nurse should take is to inform the physician that the behavior is both unwelcome and inappropriate, and the physician should be told to stop immediately. It may become necessary to inform the nursing supervisor of the physician's behavior but it is not the best first step for the nurse to take. Calling the medical board would be inappropriate and should not be the first step. Reporting the behavior to the chief of staff would ignore the chain of command and would be unprofessional.

Answer to Question 2

B
Absence of hair on the lower extremities is an indicator of poor perfusion because hair growth requires adequate gas exchange. A blood pressure of 102/64 is lower than the average range, but may be normal for this patient. It would not indicate poor perfusion to the tissues. The patient with heart failure is likely to have a slightly elevated heart rate if not taking medications that slow heart rate because the increased rate compensates for reduced cardiac output. Although shortness of breath may occur with heart failure, this is the result of poor pumping action of the heart, allowing fluid to accumulate in the lungs; it is not an indicator of peripheral circulation.