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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Completing an incident report is crucial whenever an error occurs in patient care. This helps to ensure that the error is properly documented, investigated, and addressed to prevent recurrence and promote patient safety.
B. Allowing the incorrect solution to finish infusing could potentially harm the patient. Once the error is identified, the infusion should be stopped immediately, and corrective action should be taken.
C. Documenting that an error occurred in the client's medical record is important, but completing an incident report is a separate step that ensures a thorough investigation and response to the error.
D. Removing the IV catheter may be necessary if the infusion needs to be stopped, but it does not address the need to document and report the error to prevent future occurrences and ensure patient safety.
Correct Answer is A
Explanation
A. Applying light pressure to the inner canthus just after instilling the eye drops is the most effective action to minimize systemic absorption. This technique blocks the nasolacrimal duct, preventing the medication from draining into the systemic circulation through the nasal mucosa. This reduces the potential for systemic side effects.
B. Wiping the eye from the inner to the outer canthus with a sterile saline-moistened cotton ball is a cleaning technique to maintain hygiene but does not impact systemic absorption of the medication.
C. Administering the medication drops directly into the lower conjunctival sac is the correct method for instillation, ensuring proper delivery of the medication to the eye. However, this action does not specifically address systemic absorption.
D. Waiting 5 minutes before instilling drops in the other eye is appropriate to prevent dilution of the medication and ensure its effectiveness in each eye. However, this action does not minimize systemic absorption.
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