A nurse is caring for a client who attempted suicide. Which of the following actions should the nurse take?

Serve meals with plastic utensils.

Assign another client to accompany the client to therapy sessions.

Assign the client to a private room.

Check on the client every 4 hr.

Answer and Explanation

The Correct Answer is A

A. Serve meals with plastic utensils: Clients who have attempted suicide are at risk of self-harm. Using plastic utensils reduces the risk of injury from sharp objects and is an immediate safety intervention to prevent further attempts. This is a standard precaution in suicide precautions.

B. Assign another client to accompany the client to therapy sessions: Clients at risk for suicide should be supervised by staff, not other clients. Relying on peers does not ensure safety and may place both clients at risk, making this an inappropriate intervention.

C. Assign the client to a private room: While privacy can provide comfort, placing a high-risk client in a private room without adequate observation increases the risk of unnoticed self-harm. Clients at risk for suicide require close monitoring and a safe environment with staff visibility.

D. Check on the client every 4 hr: Suicide precautions require frequent observation, often continuous or at least every 15–30 minutes depending on risk level. Checking every 4 hours is insufficient and does not adequately ensure client safety.

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Correct Answer is A

Explanation

A. Bradycardia: Propranolol is a nonselective beta-adrenergic blocker that inhibits both β1 and β2 receptors. Blockade of β1 receptors in the sinoatrial and atrioventricular nodes decreases heart rate and conduction velocity. Excessive beta blockade can result in clinically significant bradycardia, hypotension, and reduced cardiac output, requiring monitoring of pulse and BP.

B. Hypertension: Propranolol lowers blood pressure by decreasing cardiac output and suppressing renin release from the kidneys. Its pharmacologic action is antihypertensive rather than hypertensive. Elevated blood pressure would not be expected as a direct adverse effect of appropriate beta-blocker therapy.

C. Tinnitus: Tinnitus is more commonly associated with medications such as salicylates, loop diuretics, or certain antibiotics. Propranolol does not typically affect the auditory system or cochlear blood flow in a way that produces ringing in the ears.

D. Urinary hesitancy: Urinary hesitancy is often linked to anticholinergic medications or conditions such as benign prostatic hyperplasia. Propranolol does not have significant anticholinergic effects and does not commonly interfere with bladder detrusor muscle contraction or urinary flow.

A. Report the location of the fire. B. Protect clients from immediate injury. C. Contain the fire to one area. D. Extinguish the fire if possible.

Correct Answer is B

Explanation

A. Report the location of the fire: Notifying appropriate personnel or the fire alarm system is important for mobilizing help and initiating emergency response. However, it is not the first action because immediate threats to client safety must be addressed before communication.

B. Protect clients from immediate injury: The priority in any fire situation is the safety of clients and staff. Removing clients from immediate danger or shielding them from harm takes precedence over reporting, containing, or extinguishing the fire. This aligns with the first step of the RACE protocol (Rescue) in fire safety.

C. Contain the fire to one area: Containing the fire by closing doors and windows is critical to prevent spread, but it follows after ensuring that clients and staff are safe from immediate harm. Containment cannot protect individuals already in danger.

D. Extinguish the fire if possible: Extinguishing a fire is part of the RACE protocol, but attempting to put out a fire is secondary to rescuing individuals at risk. Only small, controllable fires should be attempted after ensuring safety of clients and staff.

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A nurse is caring for a client who attempted suicide. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

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