A female client who is scheduled to be discharged within several hours shows the practical nurse (PN) a knife on her tray and states that she could use it to cut herself. What intervention is most important for the PN to implement?

Include guidelines for coping in the discharge plan.

Call dietary and ask them to send plastic utensils.

Inform the family of the client's statement.

Inform the healthcare provider who discharged the client.

Answer and Explanation

The Correct Answer is D

A.   Including guidelines for coping in the discharge plan might be important but doesn’t address the immediate concern of the client having access to a potential means of self-harm.
B.   Calling dietary for plastic utensils might help remove the immediate risk of harm, but informing the healthcare provider takes priority.
C.   Informing the family is essential for support but doesn’t directly address the current risk.
D.   Informing the healthcare provider who discharged the client is crucial as they need to reassess the discharge plan in light of the client's current statement and remove the potential means of self-harm.

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Correct Answer is ["A","C","D"]

Explanation

Rationale:

A. Oxygen concentration in the air affects the available oxygen for breathing during submersion.
B. While witnessing the fall is important for response time, it doesn’t directly affect the level of hypoxemia.
C. Water temperature impacts the body's response to submersion, affecting oxygen utilization.

D. The duration of submersion directly correlates with the level of hypoxemia.

A. Ineffective pain management was reported while using morphine PCA. B. Inability to void 4 hours after discontinuing an indwelling catheter. C. Oral ice chips for 30 minutes were eaten after vomiting postoperatively. D. Coffee-ground secretions draining via nasogastric tube suction.

Correct Answer is D

Explanation

A. Ineffective pain management reported while using morphine PCA is concerning but may not be immediately life-threatening.
B. Inability to void after discontinuing an indwelling catheter should be addressed but might not require immediate attention.
C. Oral ice chips eaten after vomiting postoperatively might need monitoring, but it's not typically an urgent issue.
D. Coffee-ground secretions draining via nasogastric tube suction could indicate bleeding in the upper gastrointestinal tract, which requires immediate attention due to the potential for severe
bleeding.

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A female client who is scheduled to be discharged within several hours shows the practical nurse (PN) a knife on her tray and states that she could use it to cut herself. What intervention is most important for the PN to implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What factors are important in determining the level of hypoxemia that the child may have experienced during the submersion? Select all that apply.

Correct Answer is ["A","C","D"]

Explanation

Which client finding should the practical nurse (PN) report to the registered nurse (RN) immediately?

Correct Answer is D

Explanation

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