A student nurse is assigned to care for a patient who is known to be angry. During the caregiving process, the patient hits the student nurse. The action the student nurse should initially take is to
a. indicate that he does not like being hit and continue to provide care to the patient.
b. leave the patient in a safe situation and immediately report the event to the instructor.
c. immediately leave the room and call the patient's physician for an order to medicate the patient.
d. go to the telephone and call the local police to report the incident.
ANS: B
Leaving the patient in a safe situation and immediately reporting the event to the instructor should be the initial action of the student nurse, who needs both the support and guidance of the instructor. Indicating that he does not like being hit and continuing to provide care is dangerous. Immediately leaving the room and calling the physician for a medication order is inappropriate. Calling the local police to report the incident would not be the initial action.
You might also like to view...
A client finds it impossible to use artificial sweeteners because they are far too sweet and don't taste natural. What advice can the nurse give the client?
a. "That is the nature of artificial sweeteners and you will get used to it." b. "You may use natural sugar unless there is a medical reason to do otherwise." c. "Try experimenting with different amounts of the sweeteners to see what works best for you." d. "The chemicals contribute to the unnatural taste; try a different formulation to see if the taste improves."
During labor, a woman's bladder should be assessed at least every 2 hours because:
a. An empty bladder suggests kidney failure. b. Bladder fullness indicates adequate hydration. c. A full bladder may interfere with labor progress. d. The woman may be unable to tell whether the bladder is full.
The nurse decides to administer tablets of Tylenol instead of the intramuscular Demerol she has previously been providing her orthopedic client. Which step of the nursing process does this ad-dress?
1. Assessment 2. Nursing diagnosis 3. Planning 4. Implementation
In assessing D.M.'s injured ankle, what should be evaluated?
What will be an ideal response?