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Initial Action by the nurse???

NCLEX   (3,354 Views 6 Comments)
by healthcarestudent healthcarestudent (Member) Member

healthcarestudent specializes in Rehab, Geriatrics.

2,459 Profile Views; 119 Posts

Hello Everyone,

My question is regarding NCLEX questions that state initial action by the nurse and the option wherein to contact a physician is provided.

So, If the question asks, what is the nurse initial action, is that different in context to what is the nurse's appropriate action? I read in a review book sometime back (can't remember the name) that if a question asks what is the nurse's initial action, it should be what the nurse should do before calling the doctor, but when I apply this strategy to some questions, I get it wrong. I am really confused about this. Can someone please explain?

Thanks

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56 Posts; 1,202 Profile Views

well i think they both are same .....i mean

"nurse initial action" or "nurse most appropriate action".....in a nutshell, the question is asking about the priority action by the nurse for the given situation...

i think you should verify my answer with someone else too coz i don't wanna give u a false information....but the above is what i have learned from the kaplan..

hope this helps u .....

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BetterMeRN has 4 years experience and specializes in Med/Surg Nurse, Homecare, Visiting Nurse.

720 Posts; 10,966 Profile Views

I remember answering a question about initial action by the nurse. It was one of two choices "should collect and culture specimen" or "call MD" If it's something the nurse can do and it's the best answer of all the choices then go with a nursing action. If it's out of the nurse's scope then go with "call MD".

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I have also read that calling the MD is the wrong answer. I don't agree in some cases, but I would be inclined to follow the rule of thumb.

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