A nurse is caring for a client who is threatening to commit suicide. Which of the following questions should the nurse ask?

"What happened to you in the past to make you so desperate?".

"What will you accomplish by taking your life?".

"How will you carry out your plan?".

"Why do you feel depressed enough to end your life?".

Answer and Explanation

The Correct Answer is C

This question is important because it helps the nurse assess the level of risk and determine the appropriate intervention.
It is important to take all threats, communications, and suggestions regarding suicide seriously.
Choice A is not correct because it focuses on past events rather than the current situation.
Choice B is not correct because it may come across as confrontational and may not be helpful in assessing the level of risk.
Choice D is not correct because it focuses on the reason for feeling depressed rather than assessing the level of risk and determining appropriate intervention.

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Correct Answer is C

Explanation

Elevating the head of the bed can help to reduce pressure on the cervical spine and promote comfort for the client.
Choice A is not correct because a pelvic girdle is not used with halo traction.
Choice B is not correct because placing the client in a supine position can increase pressure on the cervical spine.
Choice D is not correct because elevating the foot of the bed would not provide any benefit for a client in halo traction.

A. The child is not attempting to move her right arm or fingers. B. The fingertips of the right hand are swollen and bruised. C. The fingers on the right hand have a capillary refill of 4 seconds. D. The parent reports the child will not keep the arm elevated on the pillow.

Correct Answer is C

Explanation

A nurse caring for a toddler who had a cast applied 2 hours ago due to multiple fractures of the right hand should report immediately to the charge nurse if the fingers on the right hand have a capillary refill of 4 seconds.
This could indicate that there is a problem with circulation.
Choice A is not an answer because it is not unusual for a child to not attempt to move her right arm or fingers after having a cast applied.
Choice B is not an answer because it is not unusual for the fingertips of the right hand to be swollen and bruised after having a cast applied.
Choice D is not an answer because it is not unusual for a child to not keep their arm elevated on a pillow after having a cast applied.

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A nurse is caring for a client who is threatening to commit suicide. Which of the following questions should the nurse ask?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has been placed in halo traction to immobilize his cervical spine. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is caring for a toddler who had a cast applied 2 hours ago due to multiple fractures of the right hand. Which of the following findings should the nurse report immediately to the charge nurse?

Correct Answer is C

Explanation

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