The client is admitted to the hospital following a miscarriage, and she is septic. The healthcare provider orders antibiotics, which the client refuses, stating, "I don't deserve them. I lost my baby because I had sex outside of marriage."
Which is the appropriate response by the nurse?
A) "I'll notify your healthcare provider about your decision."
B) "Do you think you should be punished because you had a miscarriage?"
C) "I think you need to do what is best for you."
D) "You have a serious infection and really need the medication."
Answer: D
Telling the client she needs the medication is providing the best care possible. Telling the client she needs to do what is best is inappropriate; the nurse knows she needs the medication. Calling the healthcare provider is inappropriate; the nurse knows the client needs the medication. Asking the client if she thinks she should be punished is inappropriate; she is septic and needs the medication.
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A pregnant client presents to the emergency department reporting that she has started labor and is certain the baby is coming "any minute now" and asks to be taken up to the delivery suite
After assessing and monitoring the client, the nurse determines that the client is in "false" labor and is preparing her to for discharge. Which observations support the nurse's conclusion? Select all that apply. A) The contractions do not have a regular pattern. B) Her cervix has dilated 2 cm over the 2 hours of observation. C) The frequency and intensity of the contractions have stayed about the same. D) Walking seems to increase the strength of the contractions. E) The contractions are mostly in her abdomen.
The charge nurse is overheard yelling at a new graduate who mixed a tube feeding with the incorrect volume of water. What would be the expected outcome from this exchange?
1. The other staff will make sure that no errors occur. 2. The human resources department will be contacted. 3. The new graduate will hesitate to report errors in the future. 4. The charge nurse will create a guide sheet for all staff to use
When the nurse researcher conducts an electronic literature search, the search yields more than 7000 citations for the topic. The researcher should make which of these interpretations of the finding?
a. The search was comprehensive. b. The key words were not sufficiently narrowed. c. The topic does not require additional investigation. d. The topic has broad application across health care disciplines.
A child in renal failure is prescribed aluminum hydroxide gel but does not like the taste of it. You would explain to him that the purpose of this is to
A) reduce absorption of phosphorus from the GI tract. B) assist with the absorption of calcium. C) prevent GI ulceration. D) assist with elimination of potassium.