An elderly client has been admitted to the medical-surgical unit from the postanesthesia care unit. The client falls out of bed while the bed is in high position, with side rails down, and the client unattended. Which charge is the most appropriate for the nurse’s actions?

A client was voluntarily admitted to the inpatient psychiatric admission for anxiety. He is alert, oriented, and denies suicidal ideation. He states that he wants to leave. The most appropriate action by the nurse would be?

A woman presents to the emergency department with a fractured arm. Her husband is constantly by her side, and the woman appears anxious. What action should the nurse initially take?

A male client with a terminal illness is unconscious. His wife wants him to be a full code; his sister who has papers as durable power of attorney for health care says to make him a “DNR” (do not resuscitate). How should the situation be handled legally?

The mother of an infant client appears anxious when the infant cries and says, “I can’t handle this.” Which strategy should the care plan include early in the client’s hospital stay?

Entering a client’s room to get a neonate for an examination by the physician, the nurse on the maternity unit sees the client holding the crying neonate and slapping his face. Which action is most appropriate?

A competent client in a long-term care facility refuses to take his oral diuretic. The nurse tells him that if the medication isn’t taken, restraints will be applied and the medication will be given by injection. The nurse’s statement constitutes which legal tort?

What is the most important action for a nurse to take when caring for a client who had a liver biopsy?

The client does not want chemotherapy, but the family says he should take it. What is the best response by the nurse?

A client learns she is pregnant and asks the nurse for names of abortion clinics. The nurse does not believe abortion is morally right. What is the nurse’s best response?

What is essential for an informed consent?

The nurse is administering medication, and the client states, “I’ve never seen this pill before.” What should the nurse do next?

While giving the change of shift report to the oncoming night shift nurse, the evening shift nurse smells alcohol on the night shift nurse’s breath. The evening shift nurse should:

A nurse gives a client the wrong medication. After assessing the client, the nurse completes an incident report. Which statement describes what will occur next?

An alert, oriented, adult Jehovah Witness client is refusing blood even though he realizes he could die. The wife, who is not a believer, asks that blood be given. How should the situation be handled?

The nurse is unsure whether it is appropriate to delegate I.V. site observation to the licensed practical nurse. Which is the ultimate authority to consult to make this decision?

Which circumstance would keep the nurse from being liable for professional negligence when the nurse made an error when administering a drug?

A client has terminal cancer. Which is a correct illustration of the associated grief stage?

Which client cannot sign out against medical advice?

In which circumstance may a nurse legally and ethically disclose confidential information about a client?

Which statement is correct regarding government requirements about organ donation?

While performing an assessment of a 75-year-old client in the emergency department, a nurse notes many ecchymotic areas in various stages of healing on his body. Which action should the nurse perform first?