Author Question: A client informs the nurse that he wants to discontinue his treatment and go home. Later, the nurse ... (Read 54 times)

wenmo · **on:** Jul 22, 2018

A client informs the nurse that he wants to discontinue his treatment and go home. Later, the nurse finds the client dressed to leave. What action should the nurse take in this situation?

A) Let the client go after signing a document stating he is going against medical advice.
B) Restrain the client until his medical treatment is over.
C) Call the physician and get his discharge paper signed.
D) Warn the client that he may not be able to access health care again.

Question 2

The nurse is caring for a patient who is on a heparin drip for a deep vein thrombosis (DVT). During the bath, the nurse will wash the lower extremities using which of the following?

a. Circular motion to massage the legs
b. Long, firm strokes toward the heart
c. Short, firm strokes toward the heart
d. Short, light strokes

tkempin · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

A
Feedback:
If a client wishes to go before his medical treatment is finished, he should sign a document indicating personal responsibility for leaving against medical advice. The nurse should not restrain the patient, as it would make the nurse liable for legal action. The nurse may call the physician and get the discharge paper signed, but this is not appropriate. The nurse cannot warn the client that he will be denied health care in future, because it is his right to access the health care facility whenever he needs.

Answer to Question 2

D
In a patient with a current DVT, light short strokes are recommended. Because of the risk of dis-lodging a deep vein thrombosis, do not use long, firm strokes to wash the lower extremities of patients with a deep vein thrombosis or blood-clotting disorder. Use short, light strokes instead. Avoid massaging the legs.