A 30-year-old client says to the nurse, "I want to die. I think about it a lot, but I don't know how in the world to do it." Based on the client's statement, what does the nurse determine?
A. There is no suicide risk
B. There is a minimal suicide risk
C. Suicide has been attempted unsuccessfully
D. The risk for suicide exists and continued assessment is needed
Ans: D. The risk for suicide exists and continued assessment is needed
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The nurse is caring for a patient admitted for the removal of an infected appendix. Which actions by the nurse would indicate an understanding of the 2012 hospital safety goals? (Select all that apply.)
a. Places an identification band on the right arm b. Marks the surgical site with a black-felt pen c. Checks medications three times before administration. d. Washes hands between patients and/or when soiled. e. Removes allergy bands prior to transfer to surgery.
The nurse explains Dr. T. Berry Brazelton's Neonatal Behavioral Scale, which identifies six states of reactivity in newborns
The newborn's body is relatively still and his eyes are open. The parents ask which state the baby is in right now, and how should they react to this state? What is the best answer the nurse could give? A) Active alert; rock the baby to sleep B) Active alert; play with the baby C) Quiet alert; rock the baby to sleep D) Quiet alert; play with the baby
Signs and symptoms of chronic renal failure:
a. Involve every body system b. Occur when death is near c. Involve bleeding tendencies and bruising d. Involve headaches, convulsions, confu-sion, and coma
The older adult is receiving ethacrynic acid (Edecrin) and tells the nurse he doesn't hear as well as he used to. What is the best response by the nurse?
1. "You may be dehydrated; are you drinking enough fluid?" 2. "I will let your doctor know about this; it could be a side effect of your medication." 3. "How long have you been having difficulty hearing?" 4. "I will schedule a hearing exam; this could be a side effect of your medication."