Free NCLEX-RN Exam Braindumps (page: 176)

Page 176 of 431

A 33-year-old client was brought into the emergency room unconscious, and it is determined that surgery is needed. Informed consent must be obtained from his next of kin. The sequence in which the next of kin would be asked for the consent would be:

  1. Parent, spouse, adult child, sibling
  2. Spouse, adult child, parent, sibling
  3. Spouse, parent, sibling, adult child
  4. Parent, spouse, sibling, adult child

Answer(s): B

Explanation:

(A) Spouse and adult child would be asked before a parent. (B) The order of kin relationship for an adult, as determined from legal intestate succession, is usually spouse, adult child, parent, sibling. (C) Parent and sibling would be asked after adult child. (D) Spouse and adult child would be asked before parent. Sibling would be asked last.



A 33-year-old client was brought into the emergency room unconscious, and it is determined that surgery is needed. Informed consent must be obtained from his next of kin. The sequence in which the next of kin would be asked for the consent would be:

  1. Parent, spouse, adult child, sibling
  2. Spouse, adult child, parent, sibling
  3. Spouse, parent, sibling, adult child
  4. Parent, spouse, sibling, adult child

Answer(s): B

Explanation:

(A) Spouse and adult child would be asked before a parent. (B) The order of kin relationship for an adult, as determined from legal intestate succession, is usually spouse, adult child, parent, sibling. (C) Parent and sibling would be asked after adult child. (D) Spouse and adult child would be asked before parent. Sibling would be asked last.



A client who was started on antipsychotic medication 2 weeks ago is preparing for discharge from the hospital. Compliance with the medication regimen is important despite the mild side effects encountered. In order to increase the likelihood of medication compliance, the nurse would:

  1. Discuss the disease process and the importance of the medication in prevention of symptoms.
  2. Inform the client that additional side effects are to be expected and need not be reported.
  3. Discuss the importance of getting blood drawn weekly to determine medication therapeutics.
  4. Inform the client to cease taking the medication when all psychotic symptoms have cleared.

Answer(s): A

Explanation:

(A) This answer is correct. If the client is well informed about what reactions to expect from her medication, she is more likely to follow the treatment regimen. (B) This answer is incorrect. There are many side effects that are reversible by medication, and these must be reported to the nurse or physician. There are also more severe side effects, such as neuroleptic malignant syndrome, characterized by fever, tachycardia, and diaphoresis, which can be life threatening. (C) This answer is incorrect. There is no need for weekly blood tests if the drug regimen has been followed properly. (D) This answer is incorrect. The client should continue the medicationuntil the physician recommends any change in the drug regimen. Symptoms will usually reappear if medication is discontinued.



A client who was started on antipsychotic medication 2 weeks ago is preparing for discharge from the hospital. Compliance with the medication regimen is important despite the mild side effects encountered. In order to increase the likelihood of medication compliance, the nurse would:

  1. Discuss the disease process and the importance of the medication in prevention of symptoms.
  2. Inform the client that additional side effects are to be expected and need not be reported.
  3. Discuss the importance of getting blood drawn weekly to determine medication therapeutics.
  4. Inform the client to cease taking the medication when all psychotic symptoms have cleared.

Answer(s): A

Explanation:

(A) This answer is correct. If the client is well informed about what reactions to expect from her medication, she is more likely to follow the treatment regimen. (B) This answer is incorrect. There are many side effects that are reversible by medication, and these must be reported to the nurse or physician. There are also more severe side effects, such as neuroleptic malignant syndrome, characterized by fever, tachycardia, and diaphoresis, which can be life threatening. (C) This answer is incorrect. There is no need for weekly blood tests if the drug regimen has been followed properly. (D) This answer is incorrect. The client should continue the medicationuntil the physician recommends any change in the drug regimen. Symptoms will usually reappear if medication is discontinued.



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