An older female client who resides in a long-term care facility has a male friend who often visits her in the evenings.
The practical nurse (PN) enters the client's room to administer medications and finds the couple in bed together. What action should the PN take?
Request that the man get up and leave
Report the incident to the family
Exit the room and quietly close the door
Ask when the nurse should return
The Correct Answer is D
The correct answer and explanation is:
d) Ask when the nurse should return. Correct
This is the action that the PN should take when entering the client's room and finding the couple in bed together. Asking when the nurse should return respects the client's privacy, dignity, and autonomy, while also ensuring that the client receives the necessary care.
The PN should acknowledge that the client has the right to express her sexuality and intimacy, as long as it is consensual and safe . The PN should also avoid making any judgments or assumptions about the client's relationship or preferences.
a) Request that the man get up and leave.
This is not the action that the PN should take when entering the client's room and finding the couple in bed together. Requesting that the man get up and leave is rude, disrespectful, and intrusive, as it violates the client's privacy, dignity, and autonomy. The PN should not interfere with the client's sexual or intimate activities, unless there is a clear indication of abuse, coercion, or harm.
b) Report the incident to the family.
This is not the action that the PN should take when entering the client's room and finding the couple in bed together. Reporting the incident to the family is inappropriate and unethical, as it breaches the client's confidentiality and autonomy. The PN should not share any information about the client's sexual or intimate activities with anyone without her consent, unless there is a clear indication of abuse, coercion, or harm.
c) Exit the room and quietly close the door.
This is not the action that the PN should take when entering the client's room and finding the couple in bed together. Exiting the room and quietly closing the door is passive and neglectful, as it ignores the client's needs and care.
The PN should not avoid or delay providing care to the client because of her sexual or intimate activities, unless she requests so . The PN should also communicate with the client and her partner in a respectful and professional manner.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: "Repeat dose in 1 hour for unrelieved headachE." This instruction is incorrect because sumatriptan should not be taken more than twice in 24 hours.
Choice B reason: "Chew tablet well before swallowinG." This instruction is unnecessary because sumatriptan tablets are meant to be swallowed whole with water.
Choice C reason: "If you experience chest pain, call your physician immediately." This instruction is important because sumatriptan can cause coronary vasospasm, which can lead to angina or myocardial infarction.
Choice D reason: "Take daily to prevent headaches." This instruction is inappropriate because sumatriptan is used to treat acute migraine attacks, not to prevent them.
Correct Answer is ["D"]
Explanation
Swimming is the recommended sport for a school-age child with hemophilia. Hemophilia is a bleeding disorder in which the blood lacks certain clotting factors. Engaging in contact sports or activities with a high risk of injury can increase the chances of bleeding episodes and injury for individuals with hemophilia.
Explanation:
Swimming is a low-impact sport that minimizes the risk of injury and joint stress, making it an ideal choice for children with hemophilia. It provides a cardiovascular workout without subjecting the child to excessive physical stress or the risk of trauma that could lead to bleeding. Swimming also promotes muscle strength and coordination without putting significant pressure on the joints.
Now, let's discuss why the other options are not recommended:
Basketball involves physical contact and has a higher risk of falls, collisions, and potential injuries. These factors increase the likelihood of bleeding episodes for individuals with hemophilia.
Gymnastics also carries a high risk of falls, joint stress, and potential injuries. The impact and demanding movements involved in gymnastics can pose a significant risk for children with hemophilia, leading to bleeding complications.
Soccer is a contact sport that involves running, kicking, and potential collisions with other players. The physical demands and unpredictable nature of the game increase the risk of injury and subsequent bleeding for individuals with hemophilia.
In summary, swimming is the most suitable sport fo
r a school-age child with hemophilia due to its low- impact nature and minimal risk of injury. It promotes physical fitness while minimizing the likelihood of bleeding episodes and joint stress.
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