A client has a diagnosis of risk for suicide r/t a past attempt. Which of the following outcome should the nurse prioritize?
The client will verbalize 3 positive attributes about themselves by day 3
The client will perform personal hygiene with no prompting
The client will attend group by day 2
The client will remain free from injury for duration of their hospitalization
The Correct Answer is D
A. The client will verbalize 3 positive attributes about themselves by day 3. This is a good long-term goal but does not directly prevent self-harm.
B. The client will perform personal hygiene with no prompting. Improved self-care is beneficial but is not the primary priority in suicide prevention.
C. The client will attend group by day 2. Participation in therapy is helpful, but ensuring physical safety takes precedence.
D. The client will remain free from injury for the duration of their hospitalization. The most critical goal for a client at risk for suicide is preventing self-harm, making this the priority outcome.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. HCO3 above 26 mEq/L: This would indicate metabolic alkalosis, not metabolic acidosis.
B. pH below 7.35: Metabolic acidosis is characterized by a low pH (<7.35) due to excess acid accumulation or bicarbonate loss.
C. PaCO2 above 45 mm Hg: PaCO2 above 45 mm Hg is seen in respiratory acidosis, not metabolic acidosis.
D. PaO2 below 70 mm Hg: A low PaO2 indicates hypoxemia, which can occur alongside acidosis but is not a defining feature of metabolic acidosis.
Correct Answer is D
Explanation
A. Numbness of fingers. Numbness or tingling (paresthesia) is more common in respiratory alkalosis due to low CO₂ levels causing calcium binding changes.
B. Dry skin. Respiratory acidosis does not typically cause dry skin; rather, it may cause cyanosis or flushed skin due to CO₂ retention.
C. Abdominal pain. Abdominal pain is more commonly seen in metabolic acidosis, not respiratory acidosis.
D. Lethargy. Respiratory acidosis leads to CO₂ retention, which depresses the central nervous system, causing lethargy, confusion, and even coma in severe cases.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.