A middle-aged male who drinks a "fifth of liquor" every night is brought to the clinic for a pre-arranged family intervention. After each family member confronts the client, the healthcare provider tells the client that he will be heading to the hospital for detoxification. The client shouts at the practical nurse (PN) that he sees no reason for hospitalization. How should PN respond?
Listen attentively to the client's expression of anger, then support the family's wish that the client be hospitalized.
Tell the client that monitoring and medication management during detoxification is best provided in the hospital.
Explain to the client that his family cares about him and wants him to be hospitalized during detoxification.
Use a mater-of-fact manner to inform the client that hospitalization is necessary during detoxification.
The Correct Answer is B
Detoxification can be a difficult and potentially dangerous process, and it's important for the client to receive proper monitoring and medication management during this time. The hospital is equipped to provide this level of care and support. The practical nurse should explain this to the client and emphasize the importance of receiving proper care during detoxification.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The umbilical cord prolapse is an emergency situation that requires immediate intervention. The PN should not attempt to push the cord back into the vagina or cover it with a dry sterile dressing. Instead, the PN should notify the healthcare provider and the obstetrical team and assist in preparing for an emergency cesarean delivery.
Option A and B may be appropriate in some situations, but they are not the priority in this scenario.
Therefore, options A, B, and D are not answers because they do not address the immediate emergency of umbilical cord prolapse.
Correct Answer is C
Explanation
Limited abduction of the legs in a newborn can be a sign of developmental dysplasia of the hip (DDH), a condition in which the hip joint is not properly formed. The practical nurse (PN) should notify the healthcare provider of this finding so that further assessment and appropriate intervention can be initiated.
Performing range of motion to the joint (A) is not appropriate without a healthcare provider's order. Continuing care as if this is a normal finding (B) is not appropriate because limited abduction of the legs in a newborn can be a sign of DDH. While documenting the finding in the record (D) is important, notifying the healthcare provider is the most important action for the PN to take next.
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