A nurse is caring for an adult client who has attempted suicide. The client tells the nurse he is calling his family
to come pick him up. Which of the following actions by the nurse is appropriate when the client insists on
leaving the facility against medical advice? - Answers-discuss risks associated with leaving
.A nurse is caring for a client who is receiving parenteral nutrition through a nontunneled central venous
catheter and reports hearing a gurgling sound on the side of the catheter. The nurse suspects the catheter has
migrated to the jugular vein. Which of the following actions should the nurse take first? - Answers-stop the
infusion
.A nurse is reinforcing teaching with the caregiver of a client who has aphasia. The nurse should include which
of the following communication strategies in the teaching? - Answers-cue client by providing cards that portray
common needs
.A nurse is caring for a child who is 24 hr postoperative following a supratentorial craniotomy. The nurse should
maintain the child in which of the following positions? - Answers-supine with head of the bed (HOB) elevated
to 30 degrees
.A nurse working in a hospice facility is talking to a client's son who is distressed because his mother cries
frequently and says she wants to die. Which of the following responses by the nurse is appropriate? -
Answers-"Let's discuss some strategies you can use when this happens again."
.A nurse working in a provider's office is reinforcing teaching with a client who is 14 weeks of gestation. The
nurse should instruct the client to immediately notify the provider if she experiences which of the following? -
Answers-Facial edema
.A nurse is caring for a child who has leukemia and is prescribed a transfusion of platelets. Which of the
following should the client experience as a result of the transfusion? - Answers-Reduced bleeding time
.A nurse is reinforcing teaching with a client who is prescribed buspirone (BuSpar). Which of the following
statements by the client indicates an understanding of the teaching? - Answers-"I can have 1-2 alcoholic
beverages a week."