A nursing student is developing a plan of care for a suicidal client. Which documented intervention should the student implement first?
A. Communicate therapeutically.
B. Observe the client.
C. Provide a hazard-free environment.
D. Assess suicide risk.
D
Assessment is the first step of the nursing process to gain needed information to determine further appropriate interventions.
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To accurately assess the client's response to a diagnostic procedure, which of these actions should the nurse take?
a. Determine the client's perception of how well the procedure was tolerated. b. Await the results of the test performed. c. Compare vital signs taken during and after the procedure, with baseline vital signs taken prior to the test. d. Read the health care provider's progress note.
The nurse is performing an admission assessment on an Asian client. The intake includes a cultural assessment. The nurse should ask the client,
a. "Does a minister, priest, or rabbi visit you?" b. "Do you feel understood and loved?" c. "What language do you prefer to speak?" d. "Does life have meaning and value for you?"
A public health nurse visits with the parents of a child who has body lice. It is most important that the nurse tell the parents that:
a. body lice are transmitted by direct person-to-person contact. b. treatment of skin surfaces will eradicate the infestation. c. all clothing and bedding must be disinfected. d. lice burrow into the body, and vigorous scrubbing is required to remove them.
What should the nurse include as foot care for the client who is newly diagnosed with diabetes?
1. Cut toenails around and file. 2. Dry toes thoroughly. 3. Wash feet with water at a temperature of 90°F to 98.6°F. 4. Inspect feet thoroughly once a week.