The nurse performs in-line suctioning when the patient experiences a decrease in oxygen saturation and bradycardia. Which nursing action is best?

A. Seeking a tutor for help with a challenging class: Seeking help for academic difficulties is a positive coping mechanism, not a warning sign of suicide.

B. Volunteering to serve food at a homeless shelter over the holidays: Volunteering is generally a sign of social engagement and purpose, which lowers suicide risk.

C. Making plans to go to a high school dance: Engaging in social activities is a protective factor against suicide, not a warning sign.

D. Displaying extreme mood swings: Sudden, extreme mood changes, especially from depression to euphoria, can be a warning sign of suicidal ideation.

A. Educate the patient about the time period before new medications become effective. Education is important but not the priority in a crisis situation. Immediate safety is the top concern.

B. Have the client verbalize their plans for discharge. This is a future-oriented intervention, but the priority is ensuring the client's safety now.

C. Encouraging the client to participate in group therapy. Group therapy is beneficial but does not take precedence over ensuring immediate safety.

D. Monitor the client closely but at random intervals. Patients with suicidal ideation require close monitoring to prevent self-harm. Observing at random intervals reduces the chance of the patient anticipating when they are not being watched.