A nursing student is praised for the comprehensive assessment of a client diagnosed with suicidal ideation. Based on the assessment interview, the student develops a plan to keep the client safe, and the client signs the resulting:
1. DNR contract.
2. Behavioral contract.
3. Patient bill of rights contract.
4. Acceptance letter.
2
Rationale: A comprehensive assessment interview is the first step in developing a contract with the goal of behavioral change. The purpose of the interview is to assemble a complete picture of the behavior and what maintains it or keeps it going, so that strategies for changing the behavior have the best chance of success. A do-not-resuscitate (DNR) contract, patient bill of rights, and acceptance letter do not apply to the client in the scenario.
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A client is prescribed an antipyretic drug, which is to be administered rectally. Which of the following nursing interventions should a nurse perform after administering the suppository?
A) Provide the client with plenty of fluids. B) Ensure that the client maintains bed rest for at least 2 hours. C) Ensure that the client avoids food intake for at least 30 minutes. D) Check the client every 30 minutes.
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A nurse is making a home visit to a patient just discharged from the hospital. The patient states, "I've just started taking clonidine (Catapres), but it's making me so drowsy
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The client with diabetes mellitus has a blood glucose level on admission of 596 mg/dL. The nurse anticipates that this client would be experiencing which of the following types of acid-base imbalance?
1. Metabolic acidosis 2. Metabolic alkalosis 3. Respiratory acidosis 4. Respiratory alkalosis