Which statement indicates that the nurse is acting as an advocate for a client who was hospitalized after a suicide attempt and is now nearing discharge?
A. "I must observe you continually for 1 hour in order to keep you safe."
B. "Let's confer with the treatment team about the resources that you may need after discharge."
C. "You must have been very upset to do what you did today."
D. "Are you currently thinking about harming yourself?"
ANS: B
The nurse is functioning in an advocacy role when collaborating with the client and treatment team to discuss client problems and needs.
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Seeing a patient with his head in his arms resting on the over-the-bed table, the nurse steps into the room and asks if the patient feels ill. The patient, without raising his head, says, "I'm fine." What would be an appropriate response of the nurse?
a. Sit down next to the bed and say, "You don't act fine." b. Pat him on the shoulder and continue on rounds. c. Say, from the doorway, "If you need anything, just call me." d. Assist the patient to sit up and say, "Now, that's much better, isn't it?"
A physician has prescribed enteric-coated tablets for the client. The nurse knows that which of the following is true about enteric-coated tablets?
a. The tablets should be administered with antacids. b. The tablets are designed to carry drugs that can irritate the stomach. c. The tablets are designed to dissolve in the stomach. d. The tablets should be crushed.
Which nursing action can the registered nurse (RN) delegate to unlicensed assistive personnel (UAP) who are assisting with the care of a patient with scleroderma?
a. Monitor for difficulty in breathing. b. Document the patient's oral intake. c. Check finger strength and movement. d. Apply capsaicin (Zostrix) cream to hands.
The nurse cares for a client who wears soft contact lenses for vision correction. Which statement will the nurse include when teaching the client about care of the lenses?
A. "If you do not have saline solution, saliva works to cleanse the lenses." B. "If you wear disposable lenses, it is acceptable to cleanse them and wear them again." C. "If you are removing the lens, place your thumb and forefinger directly on the lens." D. "If you wear disposable lenses, be sure to cleanse the lens container daily."