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? correct 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? correct 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? correct 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? correct 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? correct 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? correct 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? correct answers
Reduced bleeding time