A nurse is caring for a client who is receiving morphine 2 mg subcutaneously every 4 hr for pain. The medication is available in a vial containing 10 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A. Plan of care: The plan of care is developed and updated by licensed nursing staff and other providers. Assistive personnel (AP) are not authorized to document assessments, interventions, or changes in the plan of care, as this requires professional judgment and accountability.

B. Graphic record: APs can document routine, objective data such as vital signs, intake and output, and other measurable observations in the graphic or flow sheet section of the EHR. This allows for accurate tracking of trends while remaining within their scope of practice.

C. Nurses' notes: Nurses’ notes require professional assessment, analysis, and evaluation of client responses to care. APs do not have the licensure to make these judgments, so they should not document in this section.

D. Discharge teaching: Documentation of discharge teaching reflects the nurse’s evaluation of client understanding and education provided, which is a licensed nursing responsibility. APs can reinforce teaching but are not authorized to document it as part of the official discharge record.

A. "Call a shelter in another county.": While contacting a shelter can be part of a safety plan, specifying another county is not necessary unless there is a need for increased distance from the abuser. The instruction should be individualized, and calling local resources may be more immediately practical and safer.

B. "Leave your partner immediately.": Immediate departure is not always safe and may increase the risk of harm if done impulsively. Safety planning emphasizes strategic, well-thought-out actions rather than abrupt decisions that could escalate danger.

C. "Keep a packed bag by your front door.": Having a packed bag ready is a precautionary measure, but it is only effective if the client also has a safe, rehearsed plan and access to secure transportation. Without a concrete strategy, this step alone may not reduce risk effectively.

D. "Rehearse your escape route.": Practicing an escape route helps the client respond quickly and safely in an emergency situation. Rehearsal allows the client to identify safe exits, plan for transportation, and anticipate obstacles, which is a central component of an effective safety plan for partner violence.