A nurse is caring for an older adult client who states, "I can't pay for my care because my kid took all my money." Which of the following actions should the nurse take?
Instruct the client to report the theft to the police.
Report the possible abuse to adult protective services.
Ask the client if there is another family member they can call for financial help.
Restrict visitation for the client's family until discharge.
The Correct Answer is B
A. Instructing the client to report the theft to the police might be appropriate in cases of theft, but the nurse's primary responsibility is to ensure the safety and well-being of the client. Reporting
to the authorities can be pursued after ensuring the client's immediate safety.
B. Reporting the possible abuse to adult protective services is the appropriate action when financial exploitation or abuse is suspected. Adult protective services can investigate the situation and provide support and resources to ensure the client's safety.
C. Asking the client if there is another family member they can call for financial help is a valid consideration, but it does not address the potential abuse or exploitation of the client's finances.
D. Restricting visitation for the client's family until discharge is not appropriate without further assessment and intervention. It may also isolate the client from potential sources of support and assistance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is B
Explanation
A. Incorrect. Digoxin typically decreases heart rate by increasing vagal tone and reducing the conduction velocity through the atrioventricular node.
B. Correct. Digoxin is a positive inotrope, meaning it increases the force of myocardial contraction, leading to increased cardiac output.
C. Incorrect. Decreased urinary output is not a common effect of digoxin.
D. Incorrect. Digoxin can lead to hyperkalemia, not hypokalemia, as it competes with potassium at the cellular level.
Correct Answer is D
Explanation
A. Preschoolers have short attention spans, so a 30-minute instructional session may not be effective and may overwhelm the child.
B. Scheduling the instructional session for 24 to 36 hours before the procedure may not be appropriate for a preschooler, as they may not retain the information for that length of time.
C. Taking the child on a tour of the surgery and recovery areas may be overwhelming and frightening for a preschooler, potentially increasing anxiety about the procedure.
D. Helping the child put a dressing on a doll is a developmentally appropriate technique for preparing a preschooler for a procedure. It allows the child to engage in hands-on learning and role-playing, helping them understand what will happen during the procedure and providing an opportunity to express any fears or concerns.
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