Which behavior observed by the nurse causes a suspicion that a depressed client may be suicidal?

Giving away valued possessions

Engaging in high-risk behaviors

Talkative, with pressured speech

Guilt, decreased self-esteem

Answer and Explanation

The Correct Answer is A

A.   Giving away valued possessions - This is a classic sign of suicidal ideation, as individuals may feel they no longer need their belongings or want to say goodbye to loved ones in a symbolic way.
B.   Engaging in high-risk behaviors - While high-risk behaviors can be a sign of depression, they are not necessarily indicative of suicidal thoughts.
C.   Talkative, with pressured speech - This could be indicative of a manic episode or high anxiety, but it is not a common sign of suicidal behavior.
D.   Guilt, decreased self-esteem - Although guilt and low self-esteem are symptoms of depression, they do not directly indicate suicidal thoughts or behaviors.

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Correct Answer is ["31"]

Explanation

(Volume to be infused (mL) × Drop factor (gtt/mL)) / Time (min).

For the patient prescribed 250 mL of packed red blood cells with a drop factor of 15 gtt/mL over 120 minutes, the calculation would be (250 mL × 15 gtt/mL) / 120 min, which equals 31.25 gtt/min.

Therefore, the nurse should regulate the IV to 31 gtt/min.

A. 20-gauge catheter in the right wrist infusing IV antibiotics B. 18-gauge catheter infusing 20 mEq Potassium Chloride IV C. 22-gauge catheter in the left forearm infusing 0.9% Normal Saline D. 20-gauge catheter in the right forearm infusing 0.9% Normal Saline

Correct Answer is D

Explanation

A. The 20-gauge catheter in the right wrist is not ideal for blood transfusions, as wrist veins are smaller and may be less optimal for high-flow transfusions.
B. An 18-gauge catheter is appropriate for blood transfusions, but the catheter is currently in use for potassium chloride, which would need to be discontinued. The best choice is a separate site.
C. A 22-gauge catheter is not large enough for blood transfusion; it may cause hemolysis or slow the transfusion rate.
D. The 20-gauge catheter in the right forearm is an appropriate size for a blood transfusion and is currently infusing normal saline, which does not interfere with the blood transfusion.

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Which behavior observed by the nurse causes a suspicion that a depressed client may be suicidal?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is prescribed 250 mL of packed red blood cells to be transfused over 120 minutes. The drop factor on the tubing is 15 gtt/mL. At what rate should the nurse regulate the IV (gtt/min)? (round to the nearest whole number)

Correct Answer is ["31"]

Explanation

The nurse is preparing to start a transfusion of packed red blood cells for a client with a hemoglobin of 5.4 g/dL. (normal Female: 11.7-15.5 g/dL; Male: 14-17.3 g/dL). Which IV site should the nurse use?

Correct Answer is D

Explanation

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