A nurse is preparing to assess a middle-aged male client who was brought to the emergency department by his wife. She reports that her husband has been "extremely depressed lately."
When assessing this client, which of the following would be a priority assessment?
A) Changes in sleeping patterns
B) Thoughts of self-harm
C) Appetite changes
D) Level of fatigue
Ans: B
Although appetite and weight changes, sleep disturbances, decreased energy, and fatigue are important indicators for the severity of depression, identifying the possibility of self-harm (suicide) is always a priority in clients who are depressed.
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A nurse is assessing a newborn who is jittery, diaphoretic, and hypothermic, and has poor feeding. What laboratory value would the nurse correlate with this condition?
A. Bilirubin: 5 mg/dL B. Blood glucose: 32 mg/dL C. Hematocrit: 50% D. White blood cell count: 25,000/mm3
Approximately 50% of the rehabilitation nurse's contribution to the rehabilitation effort is having a broad knowledge base of the pathophysiology modalities of rehabilitation. The other major contribution is:
a. implementation. b. encouragement. c. evaluation. d. cooperation.
What steps would you take in future to ensure that this did not occur again? Give rationales for your answers
Reflect on a recent communication interaction you have had with another member of the perioperative team (i.e. anaesthetist, surgeon, technician, radiographer, nurse) where you perceived the goals of the exchange were not achieved. What will be an ideal response?
The male diabetic patient asks the nurse for advice about alcohol consumption. what is the nurse's best response?
a. "it is best to have alcohol near bedtime." b. "As long as your diabetes is under control you can drink as much as you like?" C. "You should drink only one alcoholic beverage with each meal." d. " Avoid more than two drinks a day and have then with or shortly after meals."