Which client should a nurse identify as a potential candidate for involuntarily commitment?
A. A client living under a bridge in a cardboard box
B. A client threatening to commit suicide
C. A client who never bathes and wears a wool hat in the summer
D. A client who eats waste out of a garbage can
ANS: B
The nurse should identify the client threatening to commit suicide as eligible for involuntary commitment. The suicidal client who refuses treatments is a danger to self and requires emergency treatment.
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When preparing a client for a hysterosalpingogram, which of the following nursing interventions is required?
A) The client should be postmenopausal by at least 1 week. B) A full bladder is required in the client before the test. C) The client should be premenopausal by at least 1 week. D) Bowel preparation is necessary for the client.
A female patient has presented to the emergency department (ED) with complaints of a high fever and severe headache. The patient states that acetaminophen has had no appreciable effect on either symptom
The triage nurse recognizes the need to perform a rapid assessment for possible meningitis and should ask which of the following questions: A) "Have you had a nosebleed since this problem started?" B) "Have you noticed any tremors in your hands or arms?" C) "Have you done any travelling in the last few weeks?" D) "Are you having stiffness or pain in your neck?"
Heat or cold applications are beneficial for certain health conditions. A nurse should administer these therapies safely and effectively to prevent complications that can occur owing to extreme heat or cold. A client is undergoing surgery
What is the best temperature during surgery to help prevent surgical site infections? A) Hypothermia B) Normothermia C) Hyperthermia D) Hypothermia or hyperthermia
In preparing to assess visual acuity with a Snellen chart, the nurse instructs the client to:
a. Remove eyeglasses before attempting to read the lowest line. b. Stand 10 feet from the chart and read the first line aloud. c. Hold a white card over one eye and read the smallest possible line. d. Squint if necessary to improve ability to read the largest letters.