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 B

Explanation

A. Locate where in the body the pain occurs. - While important, this information is relevant for understanding the pain's origin but may not necessarily capture changes in pain intensity after administering analgesics.
B. Apply a pain scale to describe the intensity. - This is crucial to assess the effectiveness of the analgesic. Changes in pain intensity post-medication can indicate the efficacy of the intervention.
C. Ask about elements of the pain experience. - This encompasses various aspects of pain but might not directly measure the immediate impact of the analgesic.
D. Question the client about precipitating factors. - While helpful for understanding triggers, it may not be as immediately relevant for assessing the analgesic's effect.

A. Determine the means by which residents will be evacuated. B. Close all fire doors and the doors to all the residents' rooms. C. Assist any wandering residents back to their rooms. D. Offer comfort and reassurance to distraught residents.

Correct Answer is A

Explanation

A. Determine the means by which residents will be evacuated. - This task requires critical decision-making and understanding of evacuation protocols, which is within the scope of the practical nurse's responsibilities.
B. Close all fire doors and the doors to all the residents' rooms. - While important for containment, this can be executed by UAP following established protocols.
C. Assist any wandering residents back to their rooms. - UAP can assist in guiding residents back to their rooms safely.
D. Offer comfort and reassurance to distraught residents. - Both PN and UAP can offer comfort and reassurance to residents during such situations.

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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 is most important for the practical nurse (PN) to include when performing pain assessment after giving an analgesic?

Correct Answer is B

Explanation

When a small fire breaks out in the kitchen of a long-term care facility, which task should be performed by the practical nurse (PN) rather than the unlicense assistive personnel (UAP)?

Correct Answer is A

Explanation

Which statement by a mature adult client with advanced prostate cancer best indicates that he has reached a level of acceptance of his prognosis?

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