A nurse is reinforcing teaching with a group of parents about adolescent suicide. Which of the following findings poses the highest risk of suicide completion in adolescents?

Parental divorce

Parental substance use disorder

Loss of family income

Bipolar disorder

Answer and Explanation

The Correct Answer is D

Choice A reason:

While parental divorce can be a stressful event for adolescents, it alone does not pose the highest risk of suicide completion.

Choice B reason:

Parental substance use disorder can contribute to a challenging family environment, but it is not the highest risk factor for suicide completion in adolescents.

Choice C reason:

Loss of family income can create stress and instability, but it is not the highest risk factor for suicide completion.

Choice D reason:

Bipolar disorder, especially when combined with depressive symptoms, significantly increases the risk of suicide in adolescents. It is important to monitor adolescents with bipolar disorder closely and provide appropriate mental health support and intervention. While other factors mentioned can contribute to a child's overall well-being, they do not carry the same level of direct risk for suicide completion as bipolar disorder with depressive symptoms.

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Correct Answer is B

Explanation

A: Suctioning the client's airway every 2 hours is not indicated based on the provided information. The adolescent does not have a condition that compromises airway clearance, and routine suctioning can cause trauma or stimulate a vagal response, potentially leading to bradycardia.

B: Maintaining the client's head of the bed at 30° is appropriate for reducing intracranial pressure and facilitating venous drainage. The patient's symptoms of nuchal rigidity and severe headache suggest increased intracranial pressure, possibly due to meningitis, which is supported by the diagnostic results.

C: Keeping the client's room well lit is not advisable as the patient reports photophobia, which is a sensitivity to light. A well-lit room could exacerbate discomfort and pain.

D: Checking the client's temperature every 8 hours is important but not the priority intervention. The patient's condition requires more frequent monitoring due to the positive blood culture and sensitivity, indicating an active infection. More frequent temperature checks would be warranted.

A. Wrap the extremity loosely with an elastic bandage. B. Apply warm compresses to the extremity. C. Elevate the extremity above the level of the heart. D. Encourage active range of motion of the extremity.

Correct Answer is C

Explanation

Choice A reason:

Wrapping the extremity loosely with an elastic bandage may provide support but is not specifically aimed at reducing swelling.

Choice B reason:

Applying warm compresses can be beneficial for some types of injuries, but for a sprained wrist, cold compresses are more effective in reducing swelling.

Choice C reason:

This statement is correct. Elevating the extremity above the level of the heart helps to reduce swelling by promoting venous return and reducing blood flow to the affected area.

Choice D reason:

Encouraging active range of motion may be important for rehabilitation, but it is not the initial intervention for minimizing swelling in the first 12 to 24 hours after a sprain.

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A nurse is reinforcing teaching with a group of parents about adolescent suicide. Which of the following findings poses the highest risk of suicide completion in adolescents?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is contributing to the plan of care for a newly admitted adolescent. Exhibits A nurse is contributing to the plan of care for a newly admitted adolescent. Which of the following interventions should the nurse include?

Correct Answer is B

Explanation

A nurse is reinforcing teaching with a parent of a child who has a sprained wrist. Which of the following interventions should the nurse instruct the parent to implement during the first 12 to 24 hr to minimize swelling?

Correct Answer is C

Explanation

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