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: Collecting 2 mL of sputum in an emesis basin is not the standard practice as it may not be sterile and could contaminate the specimen.
B: Instructing the client to rinse with an antiseptic mouthwash prior to specimen collection could potentially kill bacteria that need to be cultured, leading to an inaccurate test result.
C: Swabbing the oropharynx with a sterile swab is not the correct method for collecting a sputum specimen for culture and sensitivity, as this method is more suitable for throat cultures.
D: Refrigerating the specimen until the time of transport to the laboratory is the correct action because it preserves the integrity of the sputum sample by slowing down bacterial growth, ensuring that the culture and sensitivity results are accurate. Refrigeration is essential to prevent overgrowth of commensal bacteria that may be present in the specimen.

A. "I will apply cold compresses when my joints are painful." B. "I will limit purine intake in my diet." C. "I plan to take water aerobics classes at the gym near my house." D. "I will avoid the use of ibuprofen for pain control."

Correct Answer is C

Explanation

A. "I will apply cold compresses when my joints are painful." Cold compresses can provide temporary relief from pain and inflammation associated with osteoarthritis.
B. "I will limit purine intake in my diet." Limiting purine intake is more relevant for conditions like gout, not osteoarthritis.
C. "I plan to take water aerobics classes at the gym near my house." Water aerobics is a lowimpact exercise that can help improve joint mobility and reduce pain associated with osteoarthritis.
D. "I will avoid the use of ibuprofen for pain control." Ibuprofen is a common nonsteroidal antiinflammatory drug (NSAID) that can help relieve pain and inflammation in osteoarthritis. However, it's essential to consider potential side effects and consult with a healthcare provider before long-term use, especially in older adults.

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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

A nurse is collecting a sputum specimen from a client for culture and sensitivity. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is reinforcing discharge teaching with an older adult client who has osteoarthritis. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is C

Explanation

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