A nurse is working with a potentially violent client in a community clinic. Which of the following would the nurse implement to minimize personal risk?
A) Using protective devices
B) Staying close to a door
C) Keeping the door closed to ensure privacy
D) Wearing inexpensive jewelry to distract the client
Ans: B
The nurse can position herself near the door so she has immediate access to an exit in case the client becomes violent. Protective devices would be inappropriate. Closing the door would be unsafe. The nurse should remove or not wear accessories such as jewelry that could be used to harm her.
You might also like to view...
Mrs. Clare was very agitated this evening. Without the knowledge of the LPN in charge, the certified nursing assistant (CNA) used soft ties to protect Mrs. Clare from falling out of bed. There was no order for their usage
On rounds several hours later, Mrs. Clare is found not breathing, tangled, with her restraints around her neck. The LPN is a. Not at fault—she did not know Mrs. Clare was put in restraints b. Guilty of negligence c. Guilty of omission d. Not concerned; after all, Mrs. Clare is a 90-year-old woman with a DNR (do not resuscitate) order
During a health history interview, a client reveals that her sister has cystic fibrosis and wants to know what chance she has of having a child with the disease
On which statement concerning autosomal recessive disorders such as cystic fibrosis does the nurse base the response? a. If both parents have siblings who have the disease, there is a 25 percent chance of a child inheriting the disease. b. If it is determined that she and her partner are carriers of the disease, there is a 1 in 4 chance each child could have cystic fibrosis. c. The only way to determine the hereditary risk is by a thorough examination of each parent's family tree. d. No test can tell whether she or her partner are carriers of the disease.
A nursing intervention for an unstable infant who has supraventricular tachycardia is (Select all that apply.)
1. application of ice to the face. 2. administration of intravenousadenosine (Adenocard). 3. administration of intravenousamiodarone (Cardarone). 4. preparation for cardioversion.
Name the route that is most commonly prescribed for patients to self-administer insulin
What will be an ideal response?