The nurse admits an adult client to the Emergency Department who is unconscious and suspected of attempting suicide by overdosing. The client is accompanied by his roommate. The priority data for the nurse to gather from the roommate is:
1. Recent mental status.
2. Medications or empty bottles found in the home.
3. Relative to notify in case of emergency.
4. Past medical history.
2
Rationale: The most important data to obtain is the suspected medication that was ingested, because treatment will be determined based on this information. Other data will be obtained but are of lower priority.
You might also like to view...
A new nurse is placing an elastic wrap on a patient with an ankle sprain. Which action by this nurse causes an experienced nurse to intervene?
A. Exerts moderate pull on the wrap B. Instructs the patient on wrapping the injury C. Starts wrapping distal to the injury D. Wraps in a proximal-to-distal fashion
What factors are contributing to the nursing shortage? (Select all that apply.)
1. Increased demand for nurses 2. Shortage of nursing faculty 3. Lack of nursing organizations 4. Nurses leaving the profession due to poor working conditions 5. Not enough interest in nursing
Which preventive factor should a nurse teach clients with rhinitis?
A) Avoid clearing the throat. C) Get adequate rest and sleep. B) Use a straw to drink fluids. D) Avoid carbonated fluids.
Select the type of headache which is an exclusively nocturnal headache experienced by older adults
a. Cluster headaches b. Tension headaches c. Migraine headaches d. Hypnic headaches