During the initial interview with a client in crisis, the initial priority is to:
A) Assess the adequacy of the support system.
B) Assess for substance use.
C) Determine the precise level of functioning.
D) Evaluate the potential for self-harm.
D
Feedback: Safety is always the priority; clients in crisis may be suicidal. Answers A, B, and C are not priorities for a client in a crisis situation.
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Order: Amoxicillin oral suspension 40 mg/kg/day PO, in three divided doses. The label on the bottle reads, "125 mg/5 mL," and the child weighs 65 pounds. Calculate the number of milliliters that you should administer
1. 0.14 mL 2. 34.7 mL 3. 15.7 mL 4. 47.3 mL
What clinical manifestations should be observed in a 2-year-old child with hypotonic dehydration? (Select all that apply.)
a. Thick, doughy feel to the skin b. Slightly moist mucous membranes c. Absent tears d. Very rapid pulse e. Hyperirritability
Assessing the client's bladder function and assisting a client who is facing a problem with these function is a fundamental nursing responsibility
Based on this information, what should the nurse include in the client's teaching about the amount of urine that is collected in the bladder that will trigger the client to have the urge to void? A) 250 mL B) 350 mL C) 400 mL D) 500 mL
The nurse is caring for a migrant family. During the interview, the mother tells the nurse that the family follows an Eastern migratory stream originating in southern Florida. Which of the following statements is accurate?
1. This is one of three migratory streams that migrant farm workers traditionally follow. 2. This is a unique migratory pattern. 3. This is a traditional family-generated migratory pattern. 4. This is an unpredictable pattern that may lead the family through Texas and southern California.