During the assessment of a client, the nurse becomes concerned that the client is at risk for suicide. Which of the following assessment findings would support the nurse's conclusion? (Select all that apply.)
1. Alcohol use
2. Use of illegal substances most days of the week
3. Recent death of spouse
4. Laid off from employment 6 months ago
5. Weather preventing the planting of an annual garden
6. Family scheduled to visit in a few weeks
1, 2, 3, 4
Risk factors associated with an increased risk for suicide include alcohol and drug abuse, loss of a loved one, joblessness, and lack of economic security. Inclement weather and family visits are not risk factors associated with an increased risk for suicide.
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The nurse is admitting a client with panic anxiety to the behavioral health unit. Which clinical manifestations would indicate that the client's anxiety is at a panic level of severity?
Select all that apply. A) Inability to focus B) Dilated pupils C) Feelings of doom D) Self-absorption E) Rapid speech
A 66-year-old patient presents to the clinic complaining of dyspnea and wheezing. The patient reports a smoking history of 2 packs of cigarettes per day since age 16. This would be recorded in the chart as:
A. 50 x 2-pack years B. 100-pack years C. 50-year, 2-pack history D. 100 pack history
The nurse is planning care for a preschool-age child with spastic cerebral palsy. Which nursing diagnosis should the nurse identify to guide care for this patient's musculoskeletal status?
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A student in an LPN to RN transition program is at the clinical site and monitoring the vital signs of a patient receiving blood. At 15 minutes into the infusion, the patient begins to complain of itching and shortness of breath
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