A 34 year-old client with iron deficiency anemia experiencing pica

A 24 year-old client admitted with thalassemia awaiting a blood transfusion

A 23 yo client with a history of Vitamin B12 deficiency anemia who is confused and combative

A 65 year-old client with a chronic peptic ulcer with dark red blood in their stool

The client with a body mass index (BMI) of 16.5

The client with a white blood cell count of 5100 cells/mcL

The client with a temperature of 38.5ºC (101.3ºF)

The client who is expressing anxiety about their diagnosis of AIDS

Educate the client on chemotherapy/radiation

Advocate for the client by recommending natural medicine to the physician

Persuade the client that the cancer is treatable with the use of chemotherapy/radiation

A home-health nurse who arranges case-management services for a complex client with multiple care needs

A nurse who refuses mandatory overtime

A nurse who refuses care for a mechanically ventilated client because they lack training and education to safely care for the client

A community health nurse who documents they completed newborn home visits but only phoned the client

The client with acute kidney injury who has peripheral edema

The client who recently started peritoneal dialysis and has leakage around the site

The client receiving hemodialysis who is restless and dyspneic

The client with benign prostatic hyperplasia who has urgency to void despite having an indwelling catheter

The nurse arranges private home health services because they do not feel safe in the client's home

A pregnant nurse arranges for another nurse to take care of a client with shingles

A client requests to have a male nurse reassigned to a different patient assignment

A nurse, on a short-staffed medical unit, reads a client's chart with a history of sexual assault and then refuses the client assignment

The manager should do nothing because the nurse did not bring forward concerns in the meeting

The manager should send an email to the nurses indicating that the new schedule will become easier to implement

The manager should confront the nurse and ask why they are frustrated with the new system

The nurse manager should send an email asking the nursing staff not comfortable speaking in the meeting to contact them with specific concerns

Ask the nurse's which clients they would like to care for

Implement a system where client needs are ranked and assign the sickest client to the most experienced nurse

Allow the nurses to request their own client loads for the shift with guidance from the nurse manager

Construct a daily nurse workload based on the nurse's skills

Provides the means to communicate the person's preferences regarding life-sustaining treatment

An advance directive cannot be changed once it has been witnessed

May take the form of a power of attorney for health care

May take the form of a living will

Refer the case to social work for evaluation

Postpone decision making until the client is able to make decisions on their own