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

Determine if the client is experiencing suicidal ideation.

Identify the client's social support.

Instruct the client about coping skills.

Explore the client's perception of the event.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Assessing for the client's immediate safety is the first priority in crisis intervention.

Choice B rationale:

Identifying social support is important but not the primary action in this situation.

Choice C rationale:

Instructing the client about coping skills is important, but immediate safety takes precedence.

Choice D rationale:

Exploring the client's perception of the event is valuable, but assessing for suicidality is more urgent.

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Correct Answer is B

Explanation

Choice A rationale:

A 7-month-old infant with Down syndrome is less likely to use a spoon.

Choice B rationale:

Crawling short distances is a developmental milestone that can be expected at this age.

Choice C rationale:

Speaking five to eight words is not an appropriate milestone for a 7-month-old infant.

Choice D rationale:

Standing with assistance usually occurs around 9-12 months, which might be delayed in infants with Down syndrome.

A. Decreased albumin B. Decreased erythrocyte sedimentation rate C. Increased hematocrit D. Increased protein

Correct Answer is A

Explanation

Choice A rationale:

Inflammatory bowel disease, including Crohn's disease, can lead to decreased albumin levels due to malabsorption and inflammation.

Choice B rationale:

Increased erythrocyte sedimentation rate (ESR) is more likely in inflammatory conditions.

Choice C rationale:

Decreased hematocrit is more common due to potential blood loss.

Choice D rationale:

Decreased protein levels are expected due to inflammation and malabsorption.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a 7-month-old infant who has Down syndrome. Which of the following developmental milestones should the nurse expect?

Correct Answer is B

Explanation

A nurse is reviewing the laboratory results of an older adult client who has inflammatory bowel disease and Crohn's disease. Which of the following laboratory results should the nurse expect?

Correct Answer is A

Explanation

A nurse is assessing a client who has acute glomerulonephritis. Which of the following findings should the nurse expect?

A nurse is assessing a school-age child who has Down syndrome. For which of the following findings should the nurse notify the provider?

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A nurse is planning teaching for a client who has multiple sclerosis. Which of the following instructions should the nurse plan to include?

A nurse is preparing to collect a blood specimen from a newborn via heelstick. Which of the following actions should the nurse take? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

A nurse is providing teaching for a client who has depression and a new prescription for amitriptyline. Which of the following client statements indicates an understanding of the teaching?

A nurse on the labor and delivery unit is caring for a full-term newborn immediately following birth. Which of the following actions should the nurse take first?