NCLEX RN #32 Study Smart: Comprehensive Guides for Testing Exams

A client who was placed in restraints appears in the hallway an hour later and states."I'M Houdini... I can get out of anything. There could be trouble now." Which of the following is the BEST response to the client? # (12) 1. "How are you feeling now?" 2. "How did you manage to get out of the restraints?" 3. Say nothing but signal to other staff that assistance is needed. 4. "What kind of trouble are you thinking about?" 4 An adult client is admitted with back pain and found to have a metastatic tumor on the spine. The health care provider (HCP) explains that the client has few months to live and is likely to become totally paralyzed below the waist soon. The next day the clients tells the nurse of wanting to be dis-charged despite the HCP's recommendation that the client stay a few more days. Which is the most appropriate INITIAL response by the nurse? # (13) 1. "I understand you desire to leave, but it would very risky." 2. "I will ask the palliative nurse to talk with you to help clarify your care goals." 3. "I will let the HCP know that you want to be discharged and do everything I can to