A client with a diagnosis of borderline personality disorder has had several hospitalizations for suicide attempts and self-mutilation. A priority nursing intervention for this client would include which of the following?
A) Social interaction
B) Safety maintenance
C) Concrete communication
D) Anxiety reduction
B
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A 10-year-old child is brought to the emergency department by the rescue squad from the scene of a house fire. The child is confused and agitated. Which action by the nurse is the priority for this child?
A. Assess the child for a head injury. B. Give the child 100% oxygen. C. Obtain a complete history of the fire. D. Wait for the parents to obtain consent.
The teaching plan for a diabetic patient for foot care would include that the patient should (select all that apply):
1. wash and carefully dry the feet every day. 2. apply lotion between the toes. 3. protect the feet from extreme temperatures. 4. walk barefoot only indoors. 5. buy shoes that are comfortable and supportive.
The nurse collects the weight and height measurements of a child, and calculates the child's body mass index (BMI) to be in the 10th percentile. Previous assessments indicate that the child's BMI was also in the 10th percentile
Which should the nurse include in the discussion of this child's BMI with the parents? 1. Undernutrition 2. Inconsistent growth 3. Consistent growth 4. Overnutrition
Which interventions utilized by the nurse will indicate the ability to recognize a localized inflammatory response?
a. Vigorous range-of-motion exercises b. Turn, cough, and deep breathe c. Orient to date, time, and place d. Rest, ice, and elevation