A nurse is caring for a toddler who is being treated in the…

A nurse is caring for a toddler who is being treated in the emergency department following a head contusion from a fall. History reveals the toddler lives at home with only her mother. The provider’s discharge instructions include waking the child every hour to assess for indications of a possible head injury.In which of the following situations should the nurse intervene and attempt to prevent discharge?

A nurse is caring for a client who is scheduled for surgery….

A nurse is caring for a client who is scheduled for surgery. The client hand information to the nurse about advance directives and states ” here, I don’t need this, I am too young to worry about life-sustaining measure and what I want done for me”. Which of the following measures should the nurse take?