Contact the Physician...

you can not expect any answer to be obvious on the nclex. none of them will be!!!

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[color=#a0522d]as for the call the doc thing: do not go in with the thought that will never be the answer. the possibility exists is will be an answer. they want to see if you know what you can deal with and what needs orders from the doc.

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[color=#a0522d]look at those questions critically and see why calling the doc is the answer. that is what is important~~the why!

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[color=#a0522d]good luck!

Never say NEVER! You will have to call the Doctor if there is nothing you can do to fix the problem! They may not give you the answer you need to fix the problem even if you know what to do, but if there is an answer that will help your patient and it is safe - then choose that one.

Example:

(Don't worry it is not an ACTUAL NCLEX question)

Baby that had bilateral ureteral stents inserted during surgery and urine output has dropped.... what would you do?

Choices:

a. Turn baby from side to side (reposition)

b. Call MD

c. Irrigate

d. Reassess in 30 minutes

According to my source.....

If you are thinking turning from side to side - you are thinking kidney stuff alright, but it is with periotoneal dialysis when you turn pt side to side.

Irrigate... I don't think so... NCLEX people don't want new nurses to go messing around with fresh surgeries.... you would need an order anyway.

Reassess in 30 minutes? No way... you never put off treating a problem on NCLEX.

So your only real choice is CALL THE DOCTOR.

Thanks for the input guys :)

I figured I would answer it based on they why and what is needed at that time. I had just heard so many times...the answer is never call the doctor but many answers it is correct to call them cause you need an order and as we know in NCLEX world, we are not doing something w/o an order first :)

Thanks!