14) A nurse is preparing to discharge a client who has end- stage heart failure. the client's partner tells the nurse she can no longer handle caring for the client. which of the following actions should the nurse take?

Ask the provider to delay the client's discharge home for a few more days.

Recommend the partner place the client in a long- term care facility.

Contact the case manager to discuss discharge options.

Request another family member assist the client's partner with care.

Answer and Explanation

The Correct Answer is C

a.   Delaying the client's discharge without exploring other options may not address the partner's concerns and could lead to further issues.
b.   While placing the client in a long-term care facility may be an option, it should be discussed with the case manager and considered alongside other options.
c.   Contacting the case manager is appropriate to discuss the partner's concerns and explore alternative discharge arrangements that meet the client's needs.
d.   Requesting another family member to assist may not be feasible or address the partner's ability to provide care.

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Correct Answer is C

Explanation

a. Assault: Assault is the threat of harm to another individual, such as threatening to administer the injection against the client's will. However, since the nurse actually administers the injection, it does not constitute assault.
b. Libel: Libel refers to a false statement that is written and published, which is not relevant in this scenario.
c. Battery: Battery involves the unauthorized or harmful physical contact with another individual, such as administering the injection without the client's consent.
d. False imprisonment: False imprisonment occurs when an individual is unlawfully restrained or confined. While the client's movement may be restricted by administering the injection, the primary issue here is the unauthorized physical contact, making battery the more appropriate choice.

A. "I will place a client who has a compromised immunity in a negative air pressure room" B. "I will wear a N95 respirator mask when caring for a client who is on droplet precautions" C. "I will instruct visitors to wear a mask when visiting a client who is on contact precautions" D. "I will have a client who is on airborne precautions wear a mask when out of her room"

Correct Answer is D

Explanation

a. Clients with compromised immunity are often placed in protective environments, but not necessarily in negative air pressure rooms. These rooms are typically reserved for clients on airborne precautions.
b. An N95 respirator is required for airborne precautions, not droplet precautions. A regular surgical mask is sufficient for droplet precautions.

c. Contact precautions primarily focus on preventing the transmission of pathogens through direct or indirect contact. Visitors are usually instructed to wear personal protective equipment (PPE) when entering the room, but the focus is on healthcare workers wearing PPE during patient care.
d. A client on airborne precautions (e.g., for tuberculosis or measles) should wear a mask (preferably an N95 or equivalent) when leaving the room to prevent spreading airborne pathogens

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14) A nurse is preparing to discharge a client who has end- stage heart failure. the client's partner tells the nurse she can no longer handle caring for the client. which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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