A homeless man, age 66, is admitted to the acute care facility. He was found lying in an alley. An investigation revealed the individual is homeless and does not have any available family members. The client is unresponsive at the time of admission
The prognosis is guarded. Which action by the healthcare facility is indicated?
A) Notify a local homeless shelter.
B) The hospital will approach a judge to have the client become a ward of the state.
C) The hospital will assume implied consent for care for a period of 48 hours and then move forward if there is no change to name a guardian.
D) The client will be represented by the hospital social worker until he regains consciousness or a guardian is appointed.
B
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While shopping, a nurse's friend experiences sudden unilateral weakness and slurred speech. What is the most important nursing intervention?
A) Activate the emergency response system B) Observe for return of neurologic stability C) Notify close family members of the victim D) Stabilize airway and cervical spine
Which response to the client's statement, "I'm afraid to have a cesarean birth" would be the most therapeutic?
a. "What concerns you most about a cesarean birth?" b. "Everything will be OK." c. "Don't worry about it. It will be over soon." d. "The physician will be in later and you can talk to him."
A patient will begin taking albuterol (Proventil) to treat asthma. When teaching the patient about this drug, the nurse will make which recommendation?
a. Report rapid or irregular heart rate. b. Drink 8 to 16 extra ounces of fluid each day. c. Monitor serum glucose daily. d. Take a calcium supplement.
The nurse is teaching a patient who is about to take a long car trip about using dimenhydrinate (Dramamine) to prevent motion sickness. What information is important to include when teaching this patient?
a. "Do not drive while taking this medication." b. "Dry mouth is a sign of toxicity with this mediation." c. "Take the medication 1 to 2 hours prior to beginning the trip." d. "Take 100 mg up to 6 times daily for best effect."