RN Comprehensive Predictor 2019 Form C
RN Comprehensive Predictor 2019 Form C
A nurse is caring for a client who has bipolar disorder and is
... [Show More] experiencing
acute mania. The nurse obtained a verbal prescription for restraints. Which
of the following should the actions the nurse take?
A. Request a renewal of the prescription every 8 hr.
B. Check the client’s peripheral pulse rate every 30 min
C. Obtain a prescription for restraint within 4 hr.
D. Document the client’s condition every 15 minutes
1. A nursing planning care for a school-age child who is 4 hr
postoperative following perforated appendicitis. Which of the following
actions should the nurse include in the plan of care?
a. Offer small amounts of clear liquids 6 hr following surgery (assess for
gag reflex first)
b. Give cromolyn nebulizer solution every 6 hr (for asthma)
c. Apply a warm compress to the operative site every 4 hr
d. Administer analgesics on a scheduled basis for the first 24 hr
2. A nurse is receiving change-of-shift report for a group of clients.
Which of the following clients should the nurse plan to assess first?
a. A client who has sinus arrhythmia and is receiving cardiac monitoring
b. A client who has diabetes mellitus and a hemoglobin A1C of 6.8%
c. A client who has epidural analgesia and weakness in the lower
extremities
d. A client who has a hip fracture and a new onset of tachypnea
3. A nurse is preparing to apply a transdermal nicotine patch for a
client. Which of the following actions should the nurse tak e?
a. Shave hairy areas of skin prior to application (apply to hairless, clean &
dry areas to promote absorption; avoid oily or broken skin)
b. Wear gloves to apply the patch to the client’s skin
c. Apply the patch within 1 hr of removing it from the protective pouch
(apply immediately)
d. Remove the previous patch and place it in a tissue (fold patch in
half with sticky sides pressed together)
4. A nurse has just received change-of-shift report for four clients.
Which of the following clients should the nurse assess first?
a. A client who was just given a glass of orange juice for a low blood
glucose level
b. A client who is schedule for a procedure in 1 hr (can wait)
c. A client who has 100 mL fluid remaining in his IV bag (can wait)
d. A client who received a pain medication 30 min ago for postoperative
pain
5. A nurse is caring for a client who is receiving intermittent enteral
tube feedings. Which of the following places the client at risk for
aspiration?
a. A history of gastroesophageal reflux disease
b. Receiving a high osmolarity formula
c. Sitting in a high-Fowler’s position during the feeding
d. A residual of 65 mL 1hr postprandial
6. A nurse is reviewing the laboratory results for a client who has
Cushing’s disease. The nurse should expect the client to have an increase
in which of the following laboratory values? a.Serum glucose levelincreased
b. Serum calcium level-decreased
c. Lymphocyte count- decreased immune system.
d. Serum potassium level- decreased
. 8. A nurse is caring for a client who has severe preeclampsia and is
receiving magnesium sulfate intravenously. The nurse discontinues the
magnesium sulfate after the client displaces toxicity. Which of the
following actions should the nurse take?
a. Position the client supine
b. Prepare an IV bolus of dextrose 5% in water
c. Administer methylergonovine IM
d. Administer calcium gluconate IV
Calcium gluconate is given for magnesium sulfate toxicity. Always have an
injectable form of calcium gluconate available when administering
magnesium sulfate by IV.
9. A charge nurse is teaching new staff members about factors that
increase a client’s risk to become violent. Which of the following risk factors
should the nurse include as the best predictor of future violence?
a. Experiencing delusions
b. Male gender
d. A history of being in prison
Risk factors also include: past history of aggression, poor impulse control,
and violence. Comorbidity that leads to acts of violence (psychotic
delusions, command hallucinations, violent angry reactions with cognitive
disorders).
Individual Assessment for Violence
10. A nurse is preparing to perform a sterile dressing change. Which of
the following actions should the nurse take when setting up the sterile
field?
a. Place the cap from the solution sterile side up on clean surface
b. Open the outermost flap of the sterile kit toward the body→ flap
AWAY from the body's first
c. Previous violent behavior
c. Place the sterile dressing within 1.25 cm (0.5in) of the edge of the
sterile field → 2.5 cm (1-inch) border around any sterile drape or wrap
that is considered contaminated.
d. Set up the sterile field 5 cm (2 in) below waist level→ it says BELOW
waist level; should be ABOVE waist level
11. A nurse is providing teaching to an older adult client about methods
to promote nighttime sleep. Which of the following instructions should the
nurse include?
a. Eat a light snack before bedtime
b. Stay in bed at least 1 hr if unable to fall asleep
c. Take a 1 hr nap during the day
d. Perform exercises prior to bedtime
12. A home health nurse is preparing for an initial visit with an older
adult client who lives alone. Which of the following actions should the
nurse take first?
a. Educate the client about current medical diagnosis
b. Refer the client to a meal delivery program
c. Identify environmental hazards in the home
c. The client is showing evidence of phenytoin toxicity
d. Arrange for client transportation to follow-up
appointments Rationale Priority: Assess first.
13. A nurse is assessing the remote memory of an older adult client who
has mild dementia. Which of the following questions should the nurse
ask the client?
a. “Can you tell me who visited you today?”
b. “What high school did you graduate from
c. “Can you list your current medications?”
d. “What did you have for breakfast yesterday?”
14. A nurse is providing teaching to an adolescent who has type 1
diabetes mellitus. Which of the following goals should the nurse include in
the teaching
a. HbA1c level greater than 8%- 6.5 - 8 is the target reference. >
b. Blood glucose level greater than 200 mg/dL at bedtime
c. Blood glucose level less than 60 mg/dL before breakfast- < 70 =
HYPOGLYCEMIC d. HbA1c level less than 7%
15. A nurse is caring for a client who is receiving phenytoin for
management of grand mal seizures and has a new prescription for
isoniazid and rifampin. Which of the following should the nurse
conclude if the client develops ataxia and incoordination?
a. The client is experiencing an adverse reaction to rifampin
b. The client’s seizure disorder is no longer under control
d. The client is having adverse effects due to combination antimicrobial
therapy
16. A nurse is caring for a client who is 1 hr postoperative following
rhinoplasty. Which of the following manifestations requires immediate
action by the nurse?
a. Increase in frequency of swallowing→ may indicate bleeding
b. Moderate sanguineous drainage on the drip pad
c. Bruising to the face→ side effect
d. Absent gag reflex→ possibly due to anesthesia given. (1 hour
postoperative) Rationale “Requires immediate action” choose the worst
possibility that could lead to. ABC
17. A nurse is planning care for a preschool-age child who is in the
acute phase Kawasaki disease. Which of the following interventions
should the nurse include in the plan of care?
a. Give scheduled doses of acetaminophen
every 6 hr b. Monitor the child’s
cardiac status
c. Administer antibiotics via intermittent IV bolus for 24 hr
d. Provide stimulation with children of the same age in the playroom
18. A nurse is planning an educational program for high school students
about cigarette smoking. Which of the following potential consequences of
smoking is most likely to discourage adolescents from using tobacco?
a. Use of tobacco might lead to alcohol and drug abuse
b. Smoking in adolescence increases the risk of developing lung
cancer later in life c. Use of tobacco decreases the level
of athletic ability
d. Smoking in adolescence increases the risk of lifelong addiction
19. A nurse is assessing a client who is prescribed spironolactone.
Which of the following laboratory values should the nurse monitor for
this client?
a. Total bilirubin
b. Urine ketones
c. Serum potassium- diuretic that retains potassium= hyperkalemic
risk
d. Platelet count
Rationale ATI PDF p: 146 Pharm Complications: hyperkalemia
20. A nurse has agreed to serve as an interpreter for an older adult client
who is assigned to another nurse. Which of the following statements by the
nurse indicates an understanding of this role?
a. “I will let the client know that I am available as the interpreter.”
b. “I will receive a small fee for interpreting for this client.”
c. “I am glad I’m available today, but when I’m not, you can use a family
member.”
d. “I will let the client know that an interpreter is unavailable during the
night shift.”
21.A nurse is performing assessments on newborns in the nursery.
Which of the following findings should the nurse report to the provider?
b. A 16 hour old new newborn who has yet to pass meconium- you
got 24 hours to pass stool
c, A 2 day old newborn who has a small amount of blood tinged vaginal
discharge
d. A 16 hr old newborn whose blood glucose is 45 mg/dl- 40 - 60 is normal
22. A nurse on an acute unit has received change of shift report for
4 clients which of the following clients should the nurse assess first?
Pain pallor pulselessness paresthesia
a. A client who is 1 hr postoperative and has hypoactive bowel sounds
c. A client who had a cardiac catheterization 3 hr ago and has 3+ pedal
pulses
b. A client who has fractured left tibia and pallor in the affected extremity
a. A two day old newborn who has a respiratory rate of 70 --> 30 - 60 is normal
d. A client who has a elevated AST level following administration of
azithromycin
23. A nurse is providing discharge instructions to a client who has a new
prescription for haloperidol which of the following adverse effects should
the nurse instruct the client to report to the provider?
a. Weight gain
b. Dry mouth→ anticholinergic effects
c. Sedation → s/s neuroleptic malignant syndrome??>> life threatening
24. A nurse is planning discharge teaching about cord care for the parents
of a newborn which of the following instructions should the nurse plan to
include in the teaching? P . 177 ch 26
a. Clean the base of the cord with hydrogen peroxide daily- only with tub
and sponge baths
b. The cord stump will fall off in 5 days- about 10 - 14 days
c. Contact the provider if the cord stump turns black
Rationale: cord usually falls out within 7 to 10 days. Clean with soap and
water. Cord is
expected to turn black and dry.
d. Shuffling gait →A/E EPS: is an indication of parkinsonism and should be reported to t
d. Keep the cord stump dry until it falls off
25.A nurse is teaching dietary guidelines to a client who has celiac
disease which of the following food choices is appropriate for the
client?
a. White flour tortillas
c. Wheat crackers
d. Canned barley soup
26. A nurse is working in acute care mental health facility is
assessing a client who has schizophrenia. Which of the following
findings should the nurse expect?
a. All or nothing thinking
b. Euphoric mood
d. Hypochondriasis ( anxiety disorder)
27.A nurse is caring for a client who is immobile which of the
following interventions is appropriate to prevent contracture?
a. Align a trochanter wedge between the clients legs
b. Place a towel roll under the clients neck
d. Position a pillow under the client's knees
28.A public health nurse working in a rural area is developing a program
to improve health for the local population. Which of the following actions
should the nurse plan to take?
a. Provide anticipatory guidance classes to parents through
public schools
b. Have a nurse from the outside the community provide health
lectures at the county hospital
c. Encourage rural residents to focus health spending on tertiary
health interventions
d. Launch a media campaign to increase awareness about industrial
pollution
29. A nurse in the emergency department is performing triage for
multiple clients following a disaster in the community. To which of the
following types of injuries should the nurse assign the highest priority?
b. Potato pancakes
c. Disorganized speech
c. Apply an orthotic to the clients foot
a. Below the knee amputation → ESI Level 1
b. 10cm (4 in) laceration → ESI Level 4
c. Fractured tibia → ESI Level 2; if pelvis, femur, or hip and other
extremity dislocation then level 1.
d. 95% full thickness body burn →
30. A nurse is preparing a change of shift report for an adult female
client who is postoperative. Which of the following client information
should the nurse include in the report?
CONFIRMED
a. Hgb 12.8 g/dl - 12- 16
b. Potassium 4.2 meq/l 3.5 - 5.0 meq
c. RBC 4.4 million/mm3
31. A nurse is admitting a client who has anorexia nervosa. Which of the
following is an
expected finding?
a. Iron 90 mcg/dl
c. Serum creatinine 0.8 mg/dl
d. Platelets 100,000/mm3 - 150,000 - 300,000 risk for bleeding
b. Prealbumin 10 mcg/dl (normal: 16-40)
a. A client who is postoperative following a bowel resection with an NGT set to
continuous suction
a. Continue the monitor the fetal heart rate- - Not a problem- absent or late are a
problem however CONFIRMED
b. Compare the current infusion with the prescription in the client's medication
record.
d. Calcium 9.5 mg/dl
32. A charge nurse on a medical-surgical unit is planning assignments for
a licensed practical nurse (LPN) who has been sent from the postpartum
unit due to a staffing shortage for the shift. Which of the following client
assignments should the nurse delegate to the LPN?
b. A client who has fractured a femur yesterday and is expecting SOB
c. A client who sustained a concussion and has unequal pupils
d. A client who has an Hgb of 6.3 g/dl and a prescription for packed RBCs
33. A nurse is caring for a client who is at 41 week of gestation and is
receiving oxytocin for labor induction. The nurse notes early deceleration
on the fetal heart rate monitor . Which of the following nursing actions
should the nurse take ? p . 88 ch 13 maternity
b. Stop the oxytocin infusion
c. Perform a vaginal examination
d. Initiate an amnioinfusion
34. A nurse is conducting an initial assessment of a client and noticed a
discrepancy between the clients current IV infusion and the information
received during the shift report. Which of the following actions should the
nurse take?
a. Complete an incident report and place it in the client's medical record.
c. Contact the charge nurse to see if the prescription was changed.
d. Submit a written warning for the nurse involved in the incident.
35. A nurse is reviewing the medical record of a client who has
schizophrenia and is taking clozapine. Which of the following findings
should the nurse identify as a contraindication to the administration of
clozapine ?
b. FAsting blood glucose 100 mg/dl
c. Hgb 14 g/Dl
d. Heart rate 58/min
ATI PHARM 116 Complications
36. A nurse is caring for a client who is at 38 weeks of gestation and has a
history of hepatitis C. The client asks the nurse if she will be able to
breastfeed. Which of the following responses by the nurse is appropriate?
b. You must use a breast pump to provide breast milk.
c. You must use nipple shield when breastfeeding.
d. You may breastfeed after your baby develops his antibiotics.
a. You may breastfeed unless your nipples are cracked or bleeding.
a. WBC count 2,900 /mm3 - AGRANULOCYTOSIS - 4,800- 15,000 is normal range
a. Level of consciousness. (priority)- decreased LOC can mean less o2 going to the
brain ?
37. A nurse is caring for a client who has returned to the medicalsurgical unit following a transurethral resection of the prostate. Which
of the following should the nurse identify as priority nursing
assessment after reviewing the clients information? Exhibit.
b. Skin turgor
d. Bowel sounds
38. A nurse is caring for a client who has hyperthermia .Which of the
following actions for the nurse to take ?
a. Submerge the adolescent feet in ice water
b. Cover the adolescent with a thermal blanket → if hypothermia.
c. Administer oral acetaminophen
39. A nurse manager is updating protocols for belt restraints. Which of
the following guidelines should the nurse include.
b. Attach the restraints to the beds side rails
c. Request a PRN restraints prescription for clients who are aggressive
d. Remove the client restraints every 4 hours
40. A nurse in emergency department is caring for a client who has full
thickness burn of the thorax and upper torso. After securing the client's
airway, which of the following is the nurse's priority intervention?
P. 482 ch 75 CONFIRMED
c. Deep-tendon reflexes
d. Initiate seizure precautions
a. Document the client's conditions every 15 minutes
d. Initiating IV fluid resuscitation - they are at risk for hypovolemic shock d/t 3rd
spacing
B.
C.
Let's talk about your mom’s cancer and how things will progress from here. Tell me how you are feeling about your mom dying.
a. Providing pain management
b. Offering emotional support
c. Preventing infection
41. A nurse is caring for a client who has cancer and is being
transferred to hospice care. The client’s daughter tells the nurse, “I’m
not sure what to say to my mom if she asks me about dying.” which of
the following responses by the nurse is appropriate? (SATA)
A. Hospice will take good care of your mom, so I wouldn’t worry about
that.
D. Tell her not to worry. She still has plenty of time left.
Rationale: Therapeutic communication
42. A nurse is reviewing the medical records of four clients. The nurse
should identify that which of the following client findings follow up care?
a. A client who is taking bumetanide and has potassium level of 3.6
mEq/L (normal)
b. A client who is scheduled for colonoscopy and taking sodium
phosphate
d. A client who is taking warfarin and has INR of 1.8 (normal if taking
warfarin)
43. A community health nurse receives a referral for a family home visit.
Which of the following tasks should the nurse perform first?
b. Implement the nursing process
c. Schedule a time for the home visit
d. Contact the family by phone
!
44. A nurse is caring for a client who will undergo a procedure. The client
states he does not want the provider to discuss the results with his partner.
Which of the following is an appropriate response for the nurse to make?
b. Your partner can be a great source of support for you at this time
c. Is there a reason you don’t want your partner to know about your
procedure?
d. The provider will be tactful when talking to your partner
45.A nurse is discussing a weight loss with a client who is concerned about
losing 6.8 kg (15lb) from an original weight of 9o.7 (200 lb). The nurse
should identify the weight of the following total percentage?
b. 15%
c. A client who received a Mantoux test 48 hours ago and has induration
a. 7.5%
a. You have the right to decide who receives information -
a. Clarify the source of the referral
E. You sound like you have questions about your mom dying. Let’s talk about it.
c. 8.1%
d. 13.3%
46. A nurse is caring for a client who is 4 hr postpartum and reports
that she cannot urinate. Which of the following interventions should the
nurse implement?
a. Perform fundal massage ( massage if fundus is boggy)
c. Insert an indwelling urinary catheter.
d. Apply cold therapy to the client’s perineal area.( warm)
47. A nurse is providing discharge teaching to a client who has cancer
and a prescription for a fentanyl 25 mcg /hr transdermal patch. Which of
the following instructions should the nurse include in the teaching?
b. Apply patch to your forearm
c. Avoid high-fiber foods while taking this medication
d. Remove the patch for 8 hours every day to reduce the risk for
tolerance.
b. Pour water from a squeeze bottle over the client’s perineal area.
a. Avoid hot tub while wearing the patch
a. Teach the client to shift his weight every 15 min while sitting (cannot do this because
he is paraplegic)
48. A nurse working on a surgical unit is developing a care plan for a
client who has paraplegia. The client has an area of non-blanchable
erythema over his ischium. Which of the following interventions should the
nurse include in the care plan?
b. Place the client upright on a donut-shaped cushion
c. Assess pressure points every 24 hr.- must assess
d. Turn and reposition the client every 3 hrs. while in bed. - must be
q 2 hours in bed, 1 hour in chair.
49. A nurse is working with a client who has an anxiety disorder and is in
the orientation phase of the therapeutic relationship. Which of the
following statements should the nurse make during this phase?
a. We should discuss resources to implement in your daily life
b. Let me show you simple relaxation exercises to manage stress.
c. Let’s talk about how you can change your response to stress
d. We should establish our roles in the initial session.
50. A nurse is providing discharge teaching to a client who has a new
prescription for
phenelzine. The nurse should instruct the client that it is safe to eat which
of the following foods while taking this medication?
a. Avocados
c. Pepperoni pizza
d. Smoked salmon ?????
51.A nurse enters a client’s room and sees a small fire in the client’s
bathroom. Identify the sequence of steps the nurse should take. (Move the
steps into the box on the right, placing them in the selected order of
performance. Use all steps)
a. Transport the client to another area of the nursing unit (1)
b. Activate the facility’s fire alarm system (2)
c. Close all nearby windows and doors (3)
d. Use the unit’s fire extinguisher to attempt to put out the fire (4)
b. Whole grain bread
d.
e.
Diaphoresis
Inability to concentrate
52. A nurse is caring for a client who is experiencing mild anxiety.
Which of the following findings should the nurse expect?
b. Rapid speech -severe
c. Feelings of dread
d. Purposeless activity
53. A nurse is caring for a client who has type 1 diabetes mellitus. The
client reports that she is not feeling well. Which of the following findings
should indicate to the nurse that the client is hypoglycemic? (Select all
that apply.)
b. Polydipsia = hyperglycemia
c. Acetone Breath odor = DKA
a. Tremors
a. Heightened perceptual field
54. A nurse is caring for an infant who has coarctation of the aorta.
Which of the following should the nurse identify as an expected
finding?
a. Upper extremity hypotension
b. Increased intracranial pressure
c. Frequent nosebleeds
55. A community health nurse is planning primary prevention activities to
reduce the occurrence
of abuse. Which of the following strategies should the nurse include in the
plan?
a. Instruct healthcare professionals to identify abusive situations
(screening=secondary prevention)
b. Locate financial support to open a shelter for abuse survivors (3rd)
d. Connect abuse survivors with legal counsel (3rd)
56. A nurse and an assistive personnel (AP) are caring for a group of
clients. Which of the following tasks is appropriate for the nurse to
delegate to the AP?
a. Documenting the report of pain for a client who is postoperative
b. Administering oral fluids to a client who has dysphagiad. Reviewing active range-of-motion exercise with a client who had a
stroke
57. A nurse is providing teaching to an adolescent who has peptic ulcer
disease. Which of the following statements by the client indicates an
understanding of the teaching?
a. “I will take sucralfate with meals three times per day”
c. “I will decrease my daily protein intake to 15 grams per day”
d. “I will use ibuprofen as needed to control abdominal pain”
58. A nurse is caring for a client who reports xerostomia following
radiation therapy to the mandible. Which of the following is an
appropriate action by the nurse?
d. Weak femoral pulses
c. Teach parenting skills to families at risk for abuse
c. Applying a condom catheter for a client who has a spinal cord injury
b. “I will avoid food and beverages that contain caffeine”
a. Offer the client saltine crackers between meals
b. Suggest rinsing his mouth with an alcohol-based mouthwash
c. Provide humidification of the room air
d. Instruct the client on the use of esophageal speech
59. A nurse is caring for four clients. Which of the following tasks can
the nurse delegate to an assistive personnel?
a. Assess effectiveness of antiemetic medicationb. Perform chest compressions during cardiac resuscitationc. Perform a dressing change for a new amputeed. Apply a transdermal nicotine patch-
*60. A nurse is caring for a client who states he recently purchased
lavender oil to use when he gets the flu. The nurse should recognize which
of the following findings as a potential contraindication for using
lavender?
a. The client takes vitamin C daily
b. The client has a history of alcohol use disorder
d. The client takes furosemide twice daily
c. The client has a history of asthma
a.
b.
c.
d.
Explain the procedure
Expected outcome of the procedure Potential complications
Possible alternative treatments
61. A nurse is caring for a client who has major depressive disorder and a
new prescription for
amitriptyline. The nurse should monitor for which of the following adverse
effects?
a. Increased salivation- dry it will cause - anticholinergic effects
b. Weight loss
d. Hypertension- orthostatic hypotension it will cause instead
62. A nurse is conducting a health promotion class about the use of oral
contraceptives. Which of the following disorders is a contraindication for
oral contraceptive use?
a. Asthma
c. Fibromyalgia
d. Fibrocystic breast condition
63. A nurse is preparing to witness a client’s signature on a consent
form for a colon resection. The nurse should recognize that which of the
following information should be provided to the client by the provider
before signing the form? (SATA)
e. Cost of the procedure
64. A nurse is providing teaching to a client who will undergo a
magnetic resonance imaging (MRI) scan. Which of the following
statements is appropriate to include in the teaching?
b. “You should not have this procedure if you have a tattoo.”
c. Urinary retentionb. Hypertension
a. “You should not have this procedure if you are allergic to iodine.”
c. “The nurse will ask you to wear protective eyewear during this
procedure.”
d. “The nurse will ask you to remove any transdermal patches prior to the
procedure.”
65. A nurse in a provider’s office is reviewing a female client’s medical
record during a routine visit. The nurse should recommend increasing
dietary intake of which of the following vitamins? (Exhibit)
--only tab shown is Tab 3:
H&P: postmenopausal, hx DVT and iron deficiency anemia, works
indoors, consumes 1-2 alcoholic beverages per week
a. Vitamin D
b. Vitamin K
c. Vitamin A
d. Vitamin B12
66. A nurse is caring for a child who has sickle cell anemia and
experiencing vaso-constrictive crisis. Which of the following actions
should the nurse include in the plan of care?
a. Initiate IV fluid replacement-
b. Start a 24-hr urine collection- not the priority
c. Give aspirin to reduce pain- acetaminophen or ibuprofen. Asa might
lead to reye's disease
d. Encourage ambulation- we want to promote rest to decrease 02
consumption
67. A nurse is teaching a parent about safety securing her 3-month-old
infant in a car seat. Which of the following images indicates that the parent
understands the teaching? B
a. .
C and D not shown
68. A nurse is caring for an adult client who has chronic anemia and is
scheduled to receive a transfusion of 1 unit of packed RBCs. Which of the
following actions should the nurse take? P. 249 med surg pdf
a.Check the client’s vital signs from the previous shift prior to the
initiation of the transfusion- assess prior to infusion then be with them for
first 15 - 30 minutes.
b. Set the IV infusion pump to administer the blood over 6 hr
d. Administer the blood via a 21-gauge IV needle
B
c. Flush the blood administration tubing with 0.9% sodium chloride prior to the
transfusion-
69. A nurse is caring for a client who is dissatisfied with the care from
the provider and decides to leave the facility against medical advice. After
notifying the provider, which of the following actions is appropriate for the
nurse to take?
a. Summon a security guard
c. Complete an incident report
d. Notify a social worker
Rationale:
70. A nurse is making an initial postpartum home visit. Which of the
following client statements should the nurse identify as a manifestation of
increased risk for child abuse?
a. “I try to respond to the baby quickly .”
b. “I think the baby should be sleeping through the night by now.
c. “I have several friends who come by to help out with the baby.”
d. “I want to meet other parents to see if they are going through the
same thing.” [Show Less]