Which of the following nursing interventions takes priority with a newly admitted client having suicidal ideations
Educate the patient at the time period before new medications before affective
Have the client verbalize their plans for discharge
Encouraging the client to participate in group therapy
Monitor the client closely but at random intervals
The Correct Answer is D
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. HCO3- 30 mEq/L: In chronic respiratory acidosis, the kidneys compensate by increasing bicarbonate (HCO3-) to buffer excess CO2.
B. Potassium 3.3 mEq/L: Respiratory acidosis is typically associated with hyperkalemia (high potassium), not hypokalemia (low potassium).
C. PaCO2 50 mm Hg: Respiratory acidosis is caused by CO2 retention, leading to an elevated PaCO2 (>45 mm Hg).
D. pH 7.45: A pH of 7.45 is normal or slightly alkalotic. Respiratory acidosis is characterized by a pH below 7.35.
Correct Answer is B
Explanation
A. Dopamine: Dopamine is mainly involved in motivation, pleasure, and movement. Deficiencies are linked to Parkinson’s disease and schizophrenia rather than sleep and memory issues.
B. Serotonin: Serotonin plays a major role in regulating sleep, mood, and cognitive function. Low serotonin levels are associated with depression, sleep disturbances, and memory problems.
C. Norepinephrine: Norepinephrine is involved in alertness and the fight-or-flight response. While it affects attention and arousal, its deficiency is less directly linked to sleep dysregulation and memory loss.
D. Histamine: Histamine is primarily involved in wakefulness and allergic responses. While it plays a role in arousal, it is not the primary neurotransmitter for sleep regulation and memory.
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