A nurse is educating staff members on the laws governing voluntary admissions. Which of the following statements by a staff member indicates an understanding of the teaching?

"If a client is gravely disabled, they may request admission as a voluntary individual."

"If a client under voluntary admission requests to leave, the nurse should contact the provider."

"Clients are not required to complete an admission application for voluntary admission."

"Clients under the age of 16 require involuntary commitment rather than voluntary admission."

Answer and Explanation

The Correct Answer is B

A. "If a client is gravely disabled, they may request admission as a voluntary individual.": Clients who are gravely disabled typically cannot make informed decisions regarding their care, so they would not be eligible for voluntary admission. Voluntary admission requires the client to have the capacity to consent to treatment.

B. "If a client under voluntary admission requests to leave, the nurse should contact the provider.": Clients admitted voluntarily have the right to request discharge, but the nurse must notify the healthcare provider to ensure safe discharge planning and evaluate if any legal or medical concerns exist. This statement reflects correct understanding of the legal responsibilities in voluntary admissions.

C. "Clients are not required to complete an admission application for voluntary admission.": Voluntary admission generally requires completion of an admission application or consent form to document the client’s agreement to treatment. Omitting this step would not comply with legal or institutional requirements.

D. "Clients under the age of 16 require involuntary commitment rather than voluntary admission.": Minors can be admitted voluntarily with parental or guardian consent depending on state law. They do not automatically require involuntary commitment, so this statement reflects a misunderstanding of the regulations surrounding voluntary admission of minors.

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Correct Answer is C

Explanation

A. Avoid oral sucrose: Oral sucrose is actually an effective nonpharmacologic pain management strategy for infants. It should not be avoided; small amounts can help reduce procedural pain during circumcision.

B. Provide IV morphine: IV morphine is not routinely indicated for circumcision in healthy term infants due to the risk of respiratory depression and because less invasive pain control methods are effective.

C. Swaddle the infant: Swaddling provides comfort and a sense of security, reducing pain and distress after circumcision. It is a safe, nonpharmacologic intervention that helps calm the infant during recovery.

D. Apply petroleum daily: Petroleum jelly is typically applied to the circumcision site to prevent the diaper from sticking and protect the healing tissue. However, it is usually applied with each diaper change, not just once daily, to ensure proper care and healing.

A. Monitor the dorsalis pedis pulse every 15 min. B. Place the client in Fowler's position. C. Keep the client NPO for 24 hr. D. Maintain strict bedrest for the first 12 hr.

Correct Answer is A

Explanation

A. Monitor the dorsalis pedis pulse every 15 min: Frequent assessment of peripheral pulses, such as the dorsalis pedis, is essential after a cardiac catheterization to detect early signs of arterial occlusion, bleeding, or compromised circulation. Monitoring every 15 minutes during the initial post-procedure period allows timely identification of complications.

B. Place the client in Fowler's position: After a femoral cardiac catheterization, the client is typically positioned supine with the affected leg straight to minimize bleeding and hematoma formation. Fowler’s position can increase stress on the groin puncture site and is not recommended immediately post-procedure.

C. Keep the client NPO for 24 hr: NPO status is not routinely required for 24 hours following cardiac catheterization. Clients may resume oral intake as tolerated once hemodynamically stable, unless contraindicated for other medical reasons.

D. Maintain strict bedrest for the first 12 hr: While bedrest is necessary immediately post-procedure, strict immobility is usually required for 2–6 hours, depending on the type of closure device or sheath used. Maintaining 12 hours of strict bedrest is longer than standard protocol and may unnecessarily increase discomfort and risk of complications like urinary retention.

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A nurse is educating staff members on the laws governing voluntary admissions. Which of the following statements by a staff member indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an infant who just had a circumcision. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is caring for a client following a cardiac catheterization through the left groin. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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