The nurse is conducting several home visits over the course of a week. Which action is appropriate to maintain safety?
1. Provide a daily schedule of visits to supervisors, including client addresses and phone numbers.
2. Maintain distance from threatening pets but do not insist that they be kept out of the room.
3. If an unsafe situation arises, discuss safety concerns with the client before continuing with the visit.
4. Lock personal belongings in the car trunk prior to entering the client's home.
1
Explanation: 1. The nurse should notify the supervisor when leaving for a visit, and should check in as soon as the visit is completed.
You might also like to view...
The nurse receives a handoff report on four patients. Which patient should the nurse assess first?
a. Pain rating 4/10 after pain medication b. Blood pressure 102/62 mm Hg c. Pulse 42 beats/min d. Respiratory rate 18 breaths/min
A client with a history of deep venous thrombosis (DVT) is seen in the clinic. Since the client is planning a long airplane flight, the nurse should instruct the client to:
1. Do deep-breathing exercises every hour while awake. 2. Keep the lower extremities elevated as much as possible during the flight. 3. Restrict intake of fluids during the flight. 4. Perform isometric exercises of the lower extremities every 2 hours.
The nurse is monitoring drug levels for a patient who is receiving theophylline. The most recent theophylline level was 22 mcg/mL, and the nurse evaluates this level to be:
a. below the therapeutic level. b. at a therapeutic level. c. above the therapeutic level. d. at a toxic level.
A life-threatening condition is recognized with the assessment of:
a. pain with downward pressure on both an-terior superior iliac spines. b. guarding and intense pain with deep pal-pation of the abdomen. c. distant and muffled heart sounds, with distended neck veins. d. severe throbbing pain in one eye, with photophobia.