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.
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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Related Questions
Correct Answer is C
Explanation
A. Child protective services deal with cases of child abuse or neglect, which isn't relevant to the parent's inability to afford medical equipment.
B. While a respiratory therapist might assist with the use of the nebulizer, they may not address the financial concerns of the parent.
C. Social workers can help connect families with resources, financial assistance programs, or charitable organizations that may assist with obtaining necessary medical equipment.
D. While a pharmacist plays a role in medication management, they may not directly address the financial concerns related to acquiring the nebulizer.
Correct Answer is A
Explanation
A. Pertussis is a notifiable disease, meaning healthcare providers are required to report cases to the state health department for public health monitoring and intervention.
B. Rotavirus, though significant, may not be a reportable disease in all regions.
C. Group B streptococcal disease might require reporting in certain circumstances but typically isn't as universally notifiable as pertussis.
D. Respiratory syncytial virus might require reporting in specific situations, but pertussis typically has broader reporting requirements.
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