Author Question: The client informs the nurse that he is going home in the absence of a physician's order for ... (Read 42 times)

BrownTown3 · **on:** Jul 22, 2018

The client informs the nurse that he is going home in the absence of a physician's order for discharge. The priority nursing actions include which of the following? Select all that apply. Standard Text: Select all that apply.

1. Require the client to wait until the physician can arrive to talk with the client.
2. Notify the physician that the client is planning to leave.
3. Have the client sign a form stating that he has been advised not to leave.
4. Notify the charge nurse or supervisor.
5. Notify the pharmacy.

Question 2

The nurse admits a couple to the infertility center, and the woman asks how long after ovulation conception is possible. The nurse's most accurate response is:

1. The sperm and ova are viable for only 2-3 days.
2. The sperm and ova are viable for only 6-8 hours.
3. The sperm and ova are viable for only 24-36 hours.
4. The sperm and ova are viable for only 8-10 hours.

olivia_paige29 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

2,3,4
Rationale: The client must sign a form stating that he has been advised not to leave, and the physician and charge nurse should be notified immediately, preferably before the client leaves the unit. Some facilities might require the nursing supervisor to obtain the client's signature on the AMA form, while others allow the staff nurse to perform this task. The client cannot be required to wait, as that would constitute false imprisonment. The pharmacy can be notified to discontinue the medications after the client has left the hospital; this is not a priority intervention.

Answer to Question 2

3
Rationale: The ova and sperm are viable for 24-36 hours. If the couple has intercourse within 36 hours of ovulation, the sperm can remain viable until ovulation. Within 36 hours after ovulation, the ova are no longer viable, and cannot be fertilized.