A nurse is caring for a client who has been admitted and diagnosed with type 1 diabetes mellitus. The client tells the nurse she has decided to go home. Which of the following actions should the nurse take?

Ask the client if she would like a sedative to help her relax.

Inform the client that she cannot leave without a discharge prescription from the provider.

Assign a security officer to the client's room until the provider can speak with the client.

Have the client sign the Against Medical Advice form.

Answer and Explanation

The Correct Answer is B

A.   Offering a sedative might not address the situation appropriately; the client's decision to leave needs to be managed through proper channels.
B.   Informing the client about the discharge process and the requirement of a discharge prescription from the provider is appropriate and educates the client on the necessary steps.
C.   Assigning a security officer might not be necessary unless there are safety concerns or imminent risks.
D.   Having the client sign the Against Medical Advice (AMA) form might be necessary if the client insists on leaving against medical advice, but explaining the proper discharge process should be attempted first.

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Correct Answer is B

Explanation

A. Feeling discomfort or distress about looking at the amputated leg might indicate the need for psychological support or counseling but doesn't specifically indicate the need for occupational therapy.
B. Expressing worry about managing childcare responsibilities at home suggests potential difficulty with daily activities, indicating a need for occupational therapy to assess and address these concerns.
C. Hoping to adjust to using crutches during recovery indicates a concern related to
mobility, which might involve physical therapy but not necessarily occupational therapy.
D. Expressing concern about affording therapy doesn't specifically indicate a need for occupational therapy; this might relate more to financial counseling or social work support.

A. Wait to dispose of sharps containers until they are completely full. B. Use clean gloves rather than sterile gloves for colostomy care. C. Return unused supplies from the bedside to the unit's supply stock. D. Store opened bottles of normal saline in a refrigerator for up to 48 hours.

Correct Answer is B

Explanation

A. Waiting to dispose of sharps containers until they are completely full might compromise safety and infection control practices.
B. Using clean gloves rather than sterile gloves for colostomy care is a possible interventin that can be applied.
C. Returning unused supplies to the unit's supply stock is not correct.
D. Storing opened bottles of normal saline for up to 48 hours might not be compliant with storage guidelines and could risk contamination, potentially increasing costs through wastage or patient harm.

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A nurse is caring for a client who has been admitted and diagnosed with type 1 diabetes mellitus. The client tells the nurse she has decided to go home. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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