A nurse is planning care for a client who recently attempted suicide. Which of the following actions should the nurse plan to take?
Ensure the client swallows each dose of medication.
Limit the personal toiletries in the client's room to cologne.
Keep the client's door shut when they are in the room.
Observe the client's behavior every 2 hr.
The Correct Answer is A
The correct answer is A.
Ensure the client swallows each dose of medication. A client who recently attempted suicide is at high risk of another suicide attempt and needs closemonitoring and supervision. The nurse should ensure that the client swallows each dose of medication to prevent hoarding or overdosing on pills. The nurse should also remove any potential means of self-harm from the client's room, such as sharp objects, belts, cords, or cologne that contains alcohol. The nurse should keep the client's door open or use a window to observe them at all times, not just every 2 hours.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is D. I should expect pain relief in 1 to 3 minutes. Sublingual nitroglycerin tablets are placed under the tongue and dissolve quickly to relieve chest pain caused by angina. The medication works by dilating blood vessels and improving blood flow to the heart. The onset of action is usually within 1 to 3 minutes.
Correct Answer is A
Explanation
Answer: A. Physical assessment findings
Rationale: Physical assessment findings are relevant information for a physical therapist, as they provide information about the client's mobility, strength, balance, coordination, pain, and functional status.
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