A nurse is caring for a client who is experiencing a crisis. Which of the following actions should the nurse take first?

Refer the client to crisis intervention services.

Determine the client's previous methods of coping with crisis.

Discuss with the client the cause of the crisis.

Assist the client to develop strategies to overcome the crisis.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Referring the client to crisis intervention services might be necessary, but before doing so, the nurse should gather information to understand the client's current situation and coping mechanisms.

Choice B rationale:

Assessing the client's previous coping methods helps the nurse understand the client's strengths and provides insights into potential strategies for managing the crisis effectively.

Choice C rationale:

Discussing the cause of the crisis might be helpful, but it's important to first assess the client's current coping abilities and resources.

Choice D rationale:

Assisting the client in developing strategies to overcome the crisis is important, but it should come after a thorough assessment of the client's current coping mechanisms and situation.

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Correct Answer is A

Explanation

Choice A rationale:

Somatropin can affect glucose metabolism and may lead to hypoglycemia. Parents should be aware of this potential side effect and monitor their child's blood sugar levels.

Choice B rationale:

Somatropin is usually administered via injection, not under the tongue.

Choice C rationale:

Ringing in the ears is not a common side effect of somatropin.

Choice D rationale:

Monitoring height monthly is important, but explaining the potential for hypoglycemia is more relevant to the immediate safety of the child.

A. Slurred speech B. Yellowed sclera C. Ulcers on the ankles D. Swelling in the joints

Correct Answer is A

Explanation

Choice A rationale:

Slurred speech could indicate a potential neurological complication in a client with sickle cell anemia, such as a stroke. Neurological symptoms require immediate attention and reporting to the healthcare provider.

Choice B rationale:

Yellowed sclera (jaundice) can be related to sickle cell anemia but is less acutely concerning than slurred speech.

Choice C rationale:

Ulcers on the ankles are often associated with sickle cell anemia, but they are not as urgent as neurological symptoms.

Choice D rationale:

Swelling in the joints is a potential manifestation of sickle cell anemia, but slurred speech indicates a more acute and concerning issue.

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A nurse is caring for a client who is experiencing a crisis. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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Correct Answer is A

Explanation

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