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A nurse is caring for a client whose child died from cancer. The client states, "It's hard to go on without him." Which of the following questions should the nurse ask the client first?

"What has helped you through difficult times in the past?"

"Has anyone in your family committed suicide?"

"Are you thinking about ending your life?"

"Is there anyone you would like involved in your care?"

Answer and Explanation

The Correct Answer is C

A. "What has helped you through difficult times in the past?": Important but not the priority in a potential crisis.

B. "Has anyone in your family committed suicide?": Relevant but not the first question.

C. "Are you thinking about ending your life?": Directly assesses the client's safety and risk for suicide.

D. "Is there anyone you would like involved in your care?": Supports coping but is not urgent.

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Correct Answer is D

Explanation

A. Keeping a newborn on NPO (nothing by mouth) status may be required in specific situations but not generally for routine care.

B. Laxatives are not routinely administered to newborns unless medically indicated for constipation.

C. Applying heat to the abdomen is not appropriate unless ordered by a healthcare provider, especially if the infant's temperature regulation is compromised.

D. Placing the head of the bed flat can help with positioning the newborn to prevent any breathing difficulties or aspiration.

A. High-pitched stridor B. Reduced right-sided breath sounds C. Intercostal retractions D. Paradoxical chest movement

Correct Answer is B

Explanation

A. High-pitched stridor suggests airway obstruction, not heart failure.

B. Reduced right-sided breath sounds can indicate pleural effusion or pulmonary congestion, common in clients with heart failure.

C. Intercostal retractions indicate respiratory distress, usually associated with conditions like asthma or pneumonia.

D. Paradoxical chest movement is a sign of flail chest, not heart failure.

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A nurse is caring for a client whose child died from cancer. The client states, "It's hard to go on without him." Which of the following questions should the nurse ask the client first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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