A nurse is collecting data from a client who reports manifestations of depression. Which of the following findings should the nurse identify as a risk factor for suicide?

The client is married and has children.

The client has a strong religious affiliation.

The client recently received a pay raise at work.

The client has a history of chronic back pain.

Answer and Explanation

The Correct Answer is D

Choice A reason: Being married with children often buffers suicide risk by providing social support and purpose, reducing isolation—a key factor in depression. Scientifically, strong familial ties correlate with lower rates, making this a protective, not risk-enhancing, element in mental health assessments.

Choice B reason: Strong religious affiliation typically lowers suicide risk, as faith offers coping mechanisms and community, countering despair. Scientifically, studies show religiosity inversely relates to suicide, acting as a protective factor, not a contributor, in depression-related risk evaluations.

Choice C reason: A recent pay raise suggests improved financial stability, reducing stress—a suicide risk factor. Positive life events like this bolster resilience in depression, not heighten risk. Scientifically, this aligns with lower suicidal ideation, making it a protective rather than aggravating circumstance.

Choice D reason: Chronic back pain increases suicide risk in depression, as persistent pain erodes quality of life, amplifying hopelessness. Scientifically, chronic conditions correlate with higher rates, as physical suffering compounds psychological distress, making this a significant risk factor per mental health research.

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Correct Answer is B

Explanation

Choice A reason: Elevated ammonia relates to liver failure, not pancreatitis. Pancreatitis involves pancreatic enzyme leakage, not nitrogen metabolism. Scientifically, ammonia rises in hepatic encephalopathy, lacking relevance to pancreatic inflammation, making this an incorrect marker for the condition.

Choice B reason: Elevated lipase is a hallmark of pancreatitis, as inflamed pancreatic acinar cells release this enzyme into blood. Scientifically, it’s a specific diagnostic indicator, rising with tissue damage, aligning with pancreatitis pathophysiology for accurate clinical identification.

Choice C reason: Prolonged PT/INR reflects coagulopathy, often liver-related, not pancreatitis unless complicated by disseminated intravascular coagulation. Scientifically, this isn’t a primary marker, as pancreatitis targets digestion, not clotting, making it less expected in typical cases.

Choice D reason: Decreased albumin suggests chronic liver disease or malnutrition, not acute pancreatitis. Pancreatitis doesn’t directly impair protein synthesis. Scientifically, albumin drops over time, not acutely, misaligning with pancreatitis’s rapid inflammatory onset and diagnostic profile.

A. Constipation B. Dry skin C. Hypotension D. Urinary retention

Correct Answer is C

Explanation

Choice A reason: Constipation isn’t a primary effect of disulfiram-alcohol reaction, which causes acetaldehyde buildup, triggering vasodilation and nausea, not gut motility issues. Scientifically, this reaction targets cardiovascular and systemic responses, lacking evidence for significant gastrointestinal stasis as a monitored outcome in this scenario.

Choice B reason: Dry skin isn’t linked to disulfiram-alcohol interaction, which induces flushing and sweating from acetaldehyde toxicity, not dehydration. Scientifically, the reaction affects vascular and autonomic systems, producing moist, not dry, skin responses, making this an unrelated finding for monitoring here.

Choice C reason: Hypotension occurs in disulfiram-alcohol reaction as acetaldehyde dilates vessels, dropping blood pressure. This cardiovascular effect, alongside tachycardia, is a key sign to monitor, aligning with scientific understanding of the drug’s inhibition of aldehyde dehydrogenase, causing systemic distress.

Choice D reason: Urinary retention isn’t a typical disulfiram-alcohol effect; the reaction focuses on vasodilation, nausea, and hypotension from acetaldehyde. Scientifically, autonomic overstimulation may occur, but bladder dysfunction isn’t a primary outcome, making this less critical to monitor than cardiovascular collapse.

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A nurse is collecting data from a client who reports manifestations of depression. Which of the following findings should the nurse identify as a risk factor for suicide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing laboratory findings for three clients. Which of the following laboratory results should the nurse expect for a client who has pancreatitis?

Correct Answer is B

Explanation

A nurse is caring for a client who consumed alcohol 2 days after taking disulfiram. The nurse should monitor the client for which of the following findings?

Correct Answer is C

Explanation

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