A nurse is collecting data from an adolescent during an annual physical examination. Which of the following statements by the client indicates that they are at risk for suicide?

A) The client's meal tray includes ice cream with fresh fruit: Fresh fruit poses a risk to a neutropenic client because it may harbor harmful bacteria or fungi, which could lead to an infection. Neutropenic clients have a weakened immune system and are more vulnerable to infections, so it is essential to avoid raw or unwashed fruits that can carry harmful pathogens.

B) The client is assigned to a room with negative airflow: A room with negative airflow is a precautionary measure used to prevent the spread of airborne pathogens, particularly for clients with compromised immune systems. This would help reduce the risk of infection by keeping potentially harmful microorganisms from circulating into the room.

C) The client has artificial flowers in the room: While artificial flowers may not pose an immediate risk for infection, they can accumulate dust and other particles that may contribute to a less clean environment. However, they are not as significant a risk factor as the presence of fresh fruits, which can carry live microorganisms capable of causing infections in neutropenic patients.

D) The client's meal tray contains hard boiled eggs: Hard boiled eggs are generally considered safe for neutropenic clients as long as they are properly cooked and stored. Eggs are not a known source of infection in this context, especially when they are cooked and handled properly.

A) Check the client's pulse rate: While it is important to assess vital signs, the priority in this scenario is ensuring that the client’s airway is open and that they can breathe adequately. A pulse rate check can be performed after addressing the immediate respiratory needs.

B) Administer oxygen to the client: Administering oxygen is important for clients who are cyanotic and showing signs of respiratory distress. However, oxygen will not be effective if the airway is obstructed. The first priority is to ensure that the airway is open and clear, as this is the most immediate need for breathing.

C) Establish a patent airway for the client: The most immediate priority is to ensure that the client has a patent airway. Cyanosis and a decreased respiratory rate with shallow respirations indicate that the client is likely unable to get enough oxygen, possibly due to an obstruction or inadequate airway. Once the airway is secured, other interventions such as administering oxygen can follow.

D) Place a pulse oximeter on the client's finger: While measuring oxygen saturation is important, the priority action is to ensure that the client’s airway is open first. If the client is cyanotic and showing signs of respiratory distress, the nurse must address the airway immediately before assessing the pulse oximeter reading, as it may not provide accurate data without a patent airway.