A client has been brought to the emergency department for signs and symptoms of Chronic Obstructive Pulmonary Disease (COPD). The client has a history of a suicide attempt 1 year ago
Which nursing intervention would take priority in this situation? A. Assessing the client's pulse oximetry and vital signs
B. Developing a plan for safety for the client
C. Assessing the client for suicidal ideations
D. Establishing a trusting nurse–client relationship
A
It is important to prioritize client interventions that assess the symptoms of COPD prior to any other nursing intervention. Physical needs must be prioritized according to Maslow's hierarchy of needs. This client's problems with oxygenation will take priority over assessing for current suicidal ideations.
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The gerontological nurse is identifying interventions based upon evidence-based practice. What is the best source of evidence-based practice information for the nurse?
1. Progress notes about methods that were previously effective for that client 2. The nurse's practice and experience with successful client interventions 3. The policy and procedures manual of the healthcare facility 4. A publicly available resource website information database
Which statement is least accurate regarding the evaluation step of the nursing process?
a. Evaluation brings closure to the nursing process. b. Evaluation measures the patient's progress toward achievement of expected outcomes. c. Evaluation promotes nursing accountability. d. Evaluation serves as the basis for modifica-tion of the plan of care.
The nurse is aware that vitamins are organic compounds that differ in function and availability. When discussing the difference with a client, which of the following statements would best describe vitamins?
A) Vitamins are composed of long chains of molecules linked together. B) Vitamins provide energy. C) Vitamins are susceptible to destruction by factors such as heat, air, and light. D) Vitamins exist in only one active form.
The nurse is teaching a group of women about menopause at a community clinic. The nurse tells them that the best indicator of menopause is:
1. No menses for 8 consecutive months. 2. Hot flashes and night sweats 3. High serum FSH with low serum estrogen 4. Diagnosed with osteoporosis 4 months ago