A nurse is caring for a client whose child died from cancer. The client states, "It's hard to go on without him." Which of the following questions should the nurse ask the client first?
"What has helped you through difficult times in the past?"
"Has anyone in your family committed suicide?"
"Are you thinking about ending your life?"
"Is there anyone you would like involved in your care?"
The Correct Answer is C
A. "What has helped you through difficult times in the past?": Important but not the priority in a potential crisis.
B. "Has anyone in your family committed suicide?": Relevant but not the first question.
C. "Are you thinking about ending your life?": Directly assesses the client's safety and risk for suicide.
D. "Is there anyone you would like involved in your care?": Supports coping but is not urgent.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Apply a transparent dressing to the wound: Incorrect. Transparent dressings are not appropriate for controlling active bleeding.
B. Tie a tourniquet around the leg distal to the wound: Incorrect. A tourniquet should only be used as a last resort if direct pressure fails to control the bleeding.
C. Apply direct pressure to the wound with thick dressing material: Direct pressure is the first-line intervention to control bleeding and promote hemostasis.
D. Irrigate the wound with sterile water: Incorrect. Irrigation is not the priority in an actively bleeding wound; controlling the bleeding is more critical.
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"}}
Explanation
“It is important that our child avoids placing anything inside the cast.”: This reflects an understanding. Inserting objects inside the cast can cause injury, skin breakdown, or infection, and should be avoided.
“We should notify the provider if the cast becomes loose over time.”: This reflects an understanding. A loose cast could lead to inadequate immobilization or further injury. Parents should report any loosening to the provider.
“We should prop the casted arm on pillows for the next 24 hours.”: This needs reinforcement. The cast should be elevated to reduce swelling, but it should not be kept elevated for 24 hours continuously. Parents should be taught to elevate the arm in intervals and monitor for signs of increased swelling or discomfort.
“We need to be very careful about how we handle the cast for the first 2 days while it dries.”: This reflects an understanding. It is important to handle the cast with care while it is drying to prevent deformities or indentations in the cast that could interfere with proper healing.
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