A nurse is caring for a client who is requesting to leave the facility against medical advice (AMA). The client states, "I am ready to go immediately." Which of the following actions should the nurse take first?

Teach the client about the potential health risks of leaving early.

Ask the client to sign a document stating they are leaving AMA.

Document the client's statement in direct quotes in the medical record.

Complete an incident report detailing the client scenario.

Answer and Explanation

The Correct Answer is A

A. Teach the client about the potential health risks of leaving early: The first action the nurse should take is to inform the client about the potential health risks associated with leaving the facility against medical advice. Providing this information ensures that the client is fully informed about the consequences of their decision, which is essential for promoting their safety and well-being.

B. Ask the client to sign a document stating they are leaving AMA: While obtaining a signed document is necessary, it should occur after the client has been informed about the risks involved in leaving. The nurse should first ensure the client understands the implications of their decision.

C. Document the client's statement in direct quotes in the medical record: Documentation is important but should not be the first action taken. The nurse must first address the client’s immediate request and provide information regarding potential health risks before focusing on documentation.

D. Complete an incident report detailing the client scenario: Completing an incident report may be necessary later, but the priority should be to address the client’s safety and ensure they are making an informed decision about leaving the facility. The nurse should first engage with the client regarding their choice and the associated risks.

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Correct Answer is C

Explanation

A. Trimethoprim-sulfamethoxazole: This antibiotic is commonly prescribed for treating urinary tract infections. There is typically no need to verify this prescription with the provider, as it is appropriate for the condition.

B. Hyoscyamine: Hyoscyamine is an anticholinergic that can be used to relieve urinary symptoms associated with UTIs, but it is not a first-line treatment for the infection itself. Verification may not be necessary unless there are specific concerns about the client's medical history or contraindications.

C. Oxybutynin: Oxybutynin is an anticholinergic medication used to treat overactive bladder by relaxing the bladder muscle. However, in clients with an active urinary tract infection (UTI), it can worsen urinary retention and delay clearance of the infection. It is not appropriate for managing UTI symptoms and may mask urinary urgency while contributing to incomplete bladder emptying, which increases the risk of complications. Therefore, the nurse should verify this prescription with the provider before administering.

D. Phenazopyridine: This is a urinary analgesic used to relieve burning and discomfort during urination with a UTI. It does not treat the infection, but helps with symptom management. It is safe for short-term use.

A. Use surveillance to investigate outbreaks of foodborne illness. B. Monitor the incidence rates of varicella every 2 months. C. Organize an immunization clinic for at-risk members of the community. D. Educate the community about the health risks of alcohol use.

Correct Answer is C

Explanation

A. Use surveillance to investigate outbreaks of foodborne illness. Investigating outbreaks falls under the assessment function of public health, which involves monitoring and identifying health problems within the community through data collection and analysis.

B. Monitor the incidence rates of varicella every 2 months. Tracking disease incidence is part of the assessment function, as it involves ongoing surveillance to detect trends and potential public health concerns. This data helps in planning and evaluating interventions but does not directly ensure service delivery.

C. Organize an immunization clinic for at-risk members of the community. Assurance involves ensuring that essential public health services are available and accessible. Organizing an immunization clinic directly provides a critical health service to protect vulnerable populations, making it an example of the assurance function.

D. Educate the community about the health risks of alcohol use. Providing health education aligns with the policy development function, which focuses on informing and empowering the community to make healthier choices through laws, regulations, and initiatives.

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A nurse is caring for a client who is requesting to leave the facility against medical advice (AMA). The client states, "I am ready to go immediately." Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a clinic is caring for a client who has a urinary tract infection (UTI). Which of the following prescriptions should the nurse verify with a provider?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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