The nurse is providing care for a client admitted for suicidal precautions. What priority intervention should the nurse implement first?
a. Administer prescribed anti-anxiety drugs.
b. Decrease the noise level and the harsh lighting.
c. Remove oxygen tubing from the room.
d. Set firm behavioral limits.
C
The first priority in caring for a mentally ill client is providing a safe environment. This would include removing any item that the client could use to harm himself or herself (or others). All the other interventions can be used in providing a therapeutic environment. However, they are not as imperative as the safety of the client and staff.
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A 42 year-old postoperative patient reports falling in the bathroom. The incident report the nurse files needs to include Standard Text: Select all that apply
1. Client name, and hospital or identification number 2. Date, time, place of incident 3. Conclusions based on client's report 4. Identify witness to the incident 5. Ask charge nurse to fill out report
A patient with secondary hypertension has come into the clinic for a routine check-up. The nurse is aware that the difference between primary and secondary hypertension is what?
A) Secondary hypertension has a specific cause. B) Secondary hypertension has a more gradual onset than primary hypertension. C) Secondary hypertension does not cause target organ damage. D) Secondary hypertension does not respond to antihypertensive drug therapy.
A tort differs from a crime in that it is settled in civil court
Indicate whether the statement is true or false
Which of the following postoperative observations must be reported to the physician immediately?
1. Brownish red drainage on the dressing, which is damp 2. Respirations of 20/min 3. Pulse of 72 4. Bright red bleeding