Which of the following are signs/symptoms of suicidal intent? (SELECT ALL ANSWERS THAT APPLY)
A) Lack of appetite
B) Loss of sexual interest
C) Noticeable improvement in mood
D) Giving away personal items
E) Preoccupation with death
F) Difficulty sleeping or awakening
C, D, E, F
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An older adult recently retired and reports "being depressed and lonely." What information should the nurse assess as a priority?
a. History of previous depression b. Previous stressful events c. Role of work in the adult's life d. Usual leisure time activities
Which nursing diagnosis is written in the correct format?
a. Imbalanced Nutrition: Less than Body Requirements related to body weight less than 20% under ideal weight b. Ineffective Airway Clearance related to increased respiratory rate and irregular rhythm c. Impaired Swallowing related to absent gag reflex d. Excess Fluid Volume related to 3 lb weight gain in 24 hours
A patient, who is hemodynamically stable, has been receiving protein replacement therapy for several days
The nurse realizes that which of the following laboratory tests would be the best to determine the patient's nutritional status at this time? 1. albumin 2. vitamin assay 3. transferrin 4. total lymphocyte count
As the circulating nurse, in which position would you place a client for pelvic surgery?
1. supine 2. Trendelenburg 3. lithotomy 4. prone