A patient hospitalized 3 weeks ago with major depressive disorder presented with suicidal ideations but no suicide plan. Sertraline (Zoloft) was prescribed, and the patient now reports that the feelings of depression have somewhat lessened
The guiding factor the nurse considers when planning care is that there is: a. little risk for injury if the patient has no plan.
b. an increased risk for suicide as the depression lifts.
c. little suicide risk after 3 weeks on an antidepressant.
d. an increase in patient compliance with sertraline (Zoloft).
B
Patients with severe depression may have suicidal ideation but lack the cognitive ability to plan an attempt and the energy to implement a plan. As depression lifts, the patient may be better able to plan a suicide attempt and may have sufficient energy to carry out a plan. Self-report of feeling less depressed does not mean the risk for self-injury is diminished. Vigilance continues to be necessary.
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A 75-year-old patient is received into the postanesthesia recovery room (PACU) following a 6-hour abdominal surgery. The patient's hemodynamic status is stable
Based on knowledge of the patient's surgery and the common postoperative complications the patient might be at risk for, the recovery room nurse would perform which interventions? 1. Keep the room temperature at 70 degrees, consider supplemental oxygen, and provide warm blankets. 2. Consider increasing the IV fluids, assess for urine output, and monitor the oxygen saturation. 3. Assess the patient's blood pressure more frequently than for younger clients and provide oxygen. 4. Provide postoperative instructions to avoid straining and eat a low-fiber diet.
The community health nurse, in assessing for radon, keeps in mind that radon can cause:
a. an increase in respiratory symptoms b. rare forms of cancer of the limbic system c. dwarfism d. loss of vision
Chelation therapy for lead poisoning is initiated when a child's blood level is _____ g/dl
a. 10 to 14 b. 15 to 19 c. 20 to 44 d. >45
You record that J.T.'s fingers are warm with capillary refill in less than 2 seconds. Sensory perception is
intact. He is able to flex and extend the distal joints but not the proximal joints of the third and fourth fingers. He rates his pain as a 5 out of 10. You notice J.T.'s wedding band and promptly ask him to remove it. Why is this important? What will be an ideal response?