A nurse is caring for a client who attempted suicide. Which of the following actions should the nurse take?

Serve meals with plastic utensils.

Assign another client to accompany the client to therapy sessions.

Assign the client to a private room.

Check on the client every 4 hr.

Answer and Explanation

The Correct Answer is A

- Rationale for A: Serving meals with plastic utensils is a safety measure to prevent self-harm. Metal utensils can be used as weapons, so plastic is a safer alternative. This action reflects the priority of maintaining a safe environment for the client.
- Rationale for B: Assigning another client to accompany the client to therapy sessions is not advisable. It may violate privacy and confidentiality, and it is not the responsibility of other clients to monitor safety.
- Rationale for C: Assigning the client to a private room could be beneficial for monitoring purposes, but it does not directly prevent self-harm. It is also important to consider that constant observation is necessary regardless of room assignment.
- Rationale for D: Checking on the client every 4 hours is not sufficient for a client who is at high risk for suicide. More frequent monitoring is needed to ensure the client's safety and to intervene promptly if necessary.

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Correct Answer is D

Explanation

A. Incorrect. Pinching the infant's nares can cause distress and may not effectively prevent aspiration.
B. Incorrect. Administering the whole dose at once increases the risk of the infant choking or aspirating the medication.
C. Incorrect. Holding the infant in a side-lying position may not effectively prevent aspiration and may increase the risk of choking.
D. Correct. Administering the medication using a needleless syringe in the buccal cavity allows for slow and controlled administration, reducing the risk of aspiration. This method also minimizes the chance of the infant gagging or spitting out the medication.

A. Oral imaging device B. Seizure pads C. Sterile gloves D. Tongue blade

Correct Answer is B

Explanation

A. An oral imaging device is not typically needed for the care of a client with bacterial meningitis. This device is used for examining the oral cavity and throat and is not specific to the care of meningitis.
B. Seizure pads should be placed in the client's room because bacterial meningitis can lead to seizures as a complication. Seizure pads are placed under the client during a seizure to protect them from injury due to falls or thrashing movements.
C. Sterile gloves may be necessary for certain procedures or when providing direct care to the client with bacterial meningitis, but they are not specific to the care of this condition. They should be readily available in the room for use as needed.
D. A tongue blade is not necessary for the care of a client with bacterial meningitis. Tongue blades are used for oral examination and to depress the tongue during certain medical procedures, but they are not specific to the care of meningitis.

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A nurse is caring for a client who attempted suicide. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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