When a client states, "Suicide is the only thing that will help," the nurse knows which of the following? Select all that apply
A) Take the bereaved on family outings for a year.
B) Listen carefully and take all suicide talk seriously.
C) Involve the family in a bereavement support group.
D) Involve families in psychoeducational and family network services.
E) Not try to talk the client out of suicidal intentions.
B, E
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The nurse is planning care for the client who will be returning to the unit after a cardiac transplant. A priority of care for this client would be:
1. Monitoring for bleeding. 2. Frequent oral care. 3. Keeping the skin clean and dry. 4. Limiting visitation.
The nurse should closely monitor which of the following clients receiving ipratropium?
a. client with reactive airway disease c. client with narrow-angle glaucoma b. client with diabetes mellitus d. client receiving a diuretic
The nurse is concerned that a 4-year-old child with burns is developing hypovolemic shock. Which data supports the nurse's concern?
A) Complaining of intense pain B) Blood pressure is 128/86 C) Face is bright red in color D) Apical pulse is 140 bpm
The electronic medical record has been called the most important innovation for client safety. Which of the following is true? The electronic medical record:
1. Provides a system in which information is digital, privacy protected, and inter-changeable 2. Improves client compliance with medical regimens 3. Cannot be viewed by unauthorized persons 4. Complies with JACHO standards