The nurse working in home care is about to knock on the client's door when shouting is heard through the door
The client and spouse are shouting at each other, and the nurse hears the spouse tell the client to put the gun down before someone gets hurt. The nurse's priority action is to: 1. Enter the apartment and help the spouse calm the client.
2. Call the police and put some distance between the nurse and the apartment.
3. Call the police and wait for them by the door of the apartment.
4. Go to the next client to be seen and notify the agency why this client wasn't visited.
2
Rationale: The nurse should call the police and get away from the door to prevent self-injury until the police arrive. Entering the apartment only places the nurse in jeopardy along with the spouse.
You might also like to view...
While assisting a patient with limited mobility to perform range-of-motion exercises, the nurse plans to assess the patient's adduction of the arm, which is the patient's ability to:
A) Move the limb toward the midline of the body. B) Bend the joint so that the angle of the joint diminishes. C) Turn the limb towards the center of the body. D) Rotate the forearm so that the palm of the hand is down.
What instruction should a nurse give when teaching the patient to cough effectively after surgery?
a. Breathe through the nose, hold breath, and exhale slowly. b. Take three deep breaths and cough from the chest. c. Inhale while contracting the abdominal muscles and exhale while contracting the diaphragm. d. Take short, frequent panting breaths and cough from the throat to clear accumulated mucus.
The nurse administers which of the following substances to provide passive acquired immunity to a patient?
A) Gamma globulin B) Antibiotics C) Albumin D) Measles-mumps-rubella vaccine
The nurse has implemented a bladder retraining program in a 65-year-old woman after the removal of an indwelling urinary catheter from this patient
The nurse places the patient on a timed voiding schedule and performs an ultrasonic bladder scan after each void. The nurse notes that the patient has 50 mL of urine remaining in her bladder after voiding. What would be the nurse's best response to this finding? A) Perform a straight catheterization on this patient B) Avoid further interventions at this time, as this is an acceptable finding C) Place an indwelling urinary catheter D) Press on the patient's bladder in an attempt to encourage complete emptying