A female client who is scheduled to be discharged within several hours shows the practical nurse (PN) a knife on her tray and states that she could use it to cut herself. What intervention is most important for the PN to implement?
Include guidelines for coping in the discharge plan.
Call dietary and ask them to send plastic utensils.
Inform the family of the client's statement.
Inform the healthcare provider who discharged the client.
The Correct Answer is D
A. Including guidelines for coping in the discharge plan might be important but doesn’t address the immediate concern of the client having access to a potential means of self-harm.
B. Calling dietary for plastic utensils might help remove the immediate risk of harm, but informing the healthcare provider takes priority.
C. Informing the family is essential for support but doesn’t directly address the current risk.
D. Informing the healthcare provider who discharged the client is crucial as they need to reassess the discharge plan in light of the client's current statement and remove the potential means of self-harm.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
Taking prophylactic prescriptions for diarrhea can prevent or minimize gastrointestinal issues post-disaster.
Drinking boiled water or bottled oral rehydration solutions reduces the risk of waterborne diseases.
Washing fruits and vegetables in running tap water removes contaminants.
Cleaning hands with soap, clean water, or antibacterial solutions prevents the spread of infections.
Identifying sexual contacts isn't directly related to immediate post-disaster health concerns.
Correct Answer is A
Explanation
A. Checks the medical record for the correct signed consent form prior to the examination. - Verifying that the correct consent form is signed and present in the medical record before the invasive examination is crucial to ensure the procedure is performed with proper authorization.
B. Explains the examination and asks the client to sign the consent form. - While it's important to explain the examination, obtaining consent typically involves the healthcare provider or a designated professional.
C. Explains to a family member and obtains their signature on the consent form. - Consent generally needs to be obtained directly from the client or their legally authorized representative, not just a family member.
D. Asks if the client understands the exam and why the consent form must be signed. - While educating the client about the procedure and the purpose of consent is important, it doesn't cover the formal process of obtaining and verifying the consent form.
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