The nurse entered the room to visit a middle-aged gentleman after his discharge from the hospital. The client was cleaning a gun. When the nurse asked the client to put the gun away,
the client became agitated. The nurse's discomfort grew. What is the nurse's best action at this time?
A. Apologize and say that the visit will be rescheduled when the client is feeling better.
B. Focus on client assessment and stay calm, because filling out the necessary forms will not take long.
C. Hurry through the visit and finish the documentation inside the safety of the nurse's car.
D. Use a low voice and slow, calm movements, and ask if there is a problem.
ANS: A
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When responding to the question "Will I produce enough milk for my baby as she grows and needs more milk at each feeding?" the nurse should explain that
a. The breast milk will gradually become richer to supply additional calories. b. As the infant requires more milk, feedings can be supplemented with cow's milk. c. Early addition of baby food will meet the infant's needs. d. The mother's milk supply will increase as the infant demands more at each feeding.
A father calls the clinic nurse because his 2-year-old child was bitten by a black widow spider. The nurse should advise the father to
a. Apply warm compresses. b. Carefully scrape off stinger. c. Take child to emergency department. d. Apply a thin layer of corticosteroid cream.
The CNA reports that a patient has been caught smoking in his room for the third time this week
The behavior has been addressed with a contract indicating that further infractions will result in the patient's smoking materials being taken and locked in the nurse's station and smoking will only be possible with supervision. The nurse should say: a. "Why are you smoking in your room when you know it is not allowed?" b. "Larry, the contract was, if you smoke in your room, you must give me your smok-ing materials. Let me have them, please." c. "Okay, Larry, give me your cigarettes and lighter now." d. "I am going to give you one more chance, Larry. Let's see if you can live up to the contract."
Which client data requires follow-up nursing care during a gastroscopy?
1. Client in left lateral position 2. Anterior gastric erosion ulcer 3. Blood pressure 86/44 mm Hg 4. Lethargic, aroused with touch