A client is admitted to the psychiatric unit after a serious suicide attempt involving a drug overdose. What is the priority nursing intervention?
A. Remain with the client at all times
B. Request that a family member remain with the client at all times
C. Remove the client's clothing and dress the client in a hospital gown
D. Place the client in a seclusion room from which all potentially dangerous articles have been removed
Ans: A. Remain with the client at all times
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The nurse manager makes a quick visit with patients in the emergency department (ED) waiting area
The manager is concerned about one patient who was originally assigned nonurgent status, even though there is no specific change from the triage assessment. What action should the manager take? 1. Check on the patient in another 15 minutes. 2. Tell the admittance clerk to keep an eye on the patient. 3. Change the triage tag to urgent and admit the patient to the ED. 4. Blame the concern on the number of patients still waiting to be seen.
Complete the following ECG criteria for a sinoatrial (SA) block:
Rhythm ________________________________________ Rate ________________________________________ P waves ________________________________________ PR interval ________________________________________ QRS duration ________________________________________ Fill in the blanks with correct word
A community mental health nurse has worked with a patient for 3 years but is moving out of the city and terminates the relationship. A new nurse who begins work with this patient will:
a. begin at the orientation phase. b. resume the working relationship. c. enter into a social relationship. d. return to the emotional catharsis phase.
Which of the following is an expected outcome for a client on the second day of hospitalization after an MI?
A) Has severe chest pain B) Can identify risks factors for MI C) Agrees to participate in a cardiac rehabilitation walking program D) Can perform personal self-care activities without pain