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 A
Explanation
A. Inability to void without fluid retention. Urinary retention is a common post-op complication, especially after anesthesia, and requires monitoring to prevent bladder distension or kidney issues.
B. Persistent nausea without vomiting. Nausea can be managed with antiemetics and does not necessarily require prolonged monitoring.
C. Lethargy that resolves after several hours. Post-anesthesia drowsiness is expected and does not necessarily indicate a need for extended observation.
D. Pain management with opioid analgesics. Pain control with opioids is expected and does not, by itself, require extended monitoring.
Correct Answer is B
Explanation
A. HCO3 above 26 mEq/L: This would indicate metabolic alkalosis, not metabolic acidosis.
B. pH below 7.35: Metabolic acidosis is characterized by a low pH (<7.35) due to excess acid accumulation or bicarbonate loss.
C. PaCO2 above 45 mm Hg: PaCO2 above 45 mm Hg is seen in respiratory acidosis, not metabolic acidosis.
D. PaO2 below 70 mm Hg: A low PaO2 indicates hypoxemia, which can occur alongside acidosis but is not a defining feature of metabolic acidosis.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.