The nurse is caring for a 23-year-old Caucasian male whose wife has recently died. The client has clinical depression and insufficient coping skills. The nurse should first:
A) Refer the client for long-term psychotherapy.
B) Determine the client's risk of psychosis.
C) Determine if anyone in the client's family has had depression.
D) Ask the client if he is thinking about killing himself.
D
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A nurse in a hematology clinic is working with four clients who have polycythemia vera. Which client should the nurse see first?
a. Client with a blood pressure of 180/98 mm Hg b. Client who reports shortness of breath c. Client who reports calf tenderness and swelling d. Client with a swollen and painful left great toe
A nurse is determining the needs of a selected aggregate. Eight percent of the aggregate has diabetes. Which of the following best describes the action that should be taken next to determine if this should be a priority?
a. Ask the American Diabetes Association if 8% is a worrisome rate. b. Discuss the findings with the head of the public health department. c. Review the literature to determine the national and state diabetic rate. d. Determine what the aggregate's diabetic rate has been in the past.
A small child is hospitalized with severe metabolic acidosis after ingesting a whole bottle of baby aspirin approximately 8 hours earlier. In addition to providing reassurance to the patient, which nursing action is the most appropriate?
a. Providing IV treatments as ordered but without sodium bicarbonate b. Frequently assessing the mental and neu-rologic status c. Taking daily weights and vital signs d. Inducing vomiting
What factor or condition in the client who has joint stiffness and pain is more associated with progressive systemic sclerosis than with rheumatoid arthritis?
A. The client is female. B. The pain is worse in the morning. C. The client has never been pregnant. D. The fingers are sausage-like, with nonpitting edema.