The guardian of a child who has a terminally illness tells a nurse that they want to take their child home. Which of the following responses should the nurse make?

"Your provider will be here later today."

"I can give you information on what that would involve."

"I understand how you feel. I felt the same way when my sibling was terminally ill."

"I think you should speak with social services about your request."

Answer and Explanation

The Correct Answer is B

A. "Your provider will be here later today." Informing the guardian about the provider’s availability does not directly address their request or provide immediate support. While the provider plays a role in discharge planning, the nurse should offer guidance and resources to help the guardian understand the process of taking the child home.

B. "I can give you information on what that would involve." Acknowledging the guardian’s request and offering relevant information demonstrates support and facilitates informed decision-making. Providing education on home care, hospice options, and necessary resources ensures that the guardian is prepared for the transition while maintaining open communication.

C. "I understand how you feel. I felt the same way when my sibling was terminally ill." Sharing personal experiences shifts the focus away from the guardian’s concerns and may not be appropriate in a professional setting. While empathy is essential, the response should remain patient-centered and focused on providing relevant information and support.

D. "I think you should speak with social services about your request." Referring the guardian to social services may be part of the process, but immediately redirecting the conversation does not acknowledge their concerns. The nurse should first provide direct information and reassurance before involving additional support services as needed.

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Correct Answer is A

Explanation

A. A client awaiting a screening colonoscopy later that day: This client is appropriate for early discharge. As the procedure is non-invasive and not urgent, the client can be discharged and return for the scheduled screening without compromising their health. This decision allows for the efficient use of hospital resources following a mass casualty event.

B. A client whose discharge was cancelled the prior day because they developed respiratory distress: Recommending discharge for this client is not advisable, as their recent respiratory distress indicates ongoing health issues that require monitoring and care. Early discharge could jeopardize their safety and recovery.

C. A client who is 6 hr postoperative following an open cholecystectomy: This client is not a suitable candidate for early discharge. Postoperative patients typically require observation and care to monitor for complications, such as infection or bleeding, in the hours following surgery. Early discharge could put this client's recovery at risk.

D. A client who is prescribed gastric lavage treatments to treat acute aspirin toxicity: This client should not be recommended for early discharge, as they require ongoing treatment and monitoring for aspirin toxicity. Discharging this client prematurely could lead to serious health complications and does not ensure their safety and well-being.

A. "Rub your hands together for at least 10 seconds when washing them." B. "Keep your abdominal muscles tightened when lifting objects." C. "Ensure that 20% or less of calories are from saturated fats." D. "Engage in aerobic exercise 2 to 4 days per week for 20 minutes."

Correct Answer is B

Explanation

A. "Rub your hands together for at least 10 seconds when washing them.": While handwashing is important for preventing infections, the recommendation for effective handwashing is to rub hands together for at least 20 seconds, not 10. Emphasizing proper handwashing techniques is essential for promoting workplace health.

B. "Keep your abdominal muscles tightened when lifting objects.": This is proper body mechanics to prevent back injuries in a warehouse setting. Workers should also bend at the knees, keep objects close to the body, and avoid twisting.

C. "Ensure that 20% or less of calories are from saturated fats.": The dietary guideline is that saturated fat should be <10% of daily calories, not 20%.

D. "Engage in aerobic exercise 2 to 4 days per week for 20 minutes.": While regular exercise is beneficial, the recommendation for aerobic exercise typically suggests at least 150 minutes of moderate-intensity exercise each week, which translates to about 30 minutes on most days. This statement underrepresents the amount of physical activity needed for optimal health.

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The guardian of a child who has a terminally illness tells a nurse that they want to take their child home. Which of the following responses should the nurse make?

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