A nurse is collecting data from an adolescent.

Which of the following should the nurse identify as the greatest risk for suicide?

Family conﬂict.

Homosexuality.

Availability of firearms.

Active psychiatric disorder.

Answer and Explanation

The Correct Answer is D

Having a psychiatric disorder, such as depression, anxiety disorder, or bipolar disorder, is a signiﬁcant risk factor for suicide in adolescents.
Choice A is not correct because while family conﬂict can be a contributing factor to suicide risk, it is not the greatest risk factor.
Choice B is not correct because homosexuality itself is not a risk factor for suicide; however, discrimination and bullying related to one’s sexual orientation can increase suicide risk.
Choice C is not correct because while the availability of ﬁrearms can increase the likelihood of a completed suicide attempt, it is not the greatest risk factor for suicide.

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Correct Answer is D

Explanation

a.Log rolling is an appropriate technique to reposition a postoperative scoliosis repair patient as it minimizes stress on the spine and helps maintain spinal alignment. Patients need frequent repositioning to prevent pressure ulcers and promote comfort, but every 4 hours may not be frequent enough; typically, every 2 hours is recommended.

b.Protective isolation is not typically required for patients undergoing scoliosis surgery unless they have specific risk factors for infection (e.g., immunocompromised status). Standard postoperative care focuses on monitoring for infection at the surgical site rather than isolation unless indicated by the patient's condition.

c.While it’s important to elevate the head of the bed to assist with breathing and comfort, after scoliosis surgery, the head of the bed is generally elevated to 30-45° to facilitate lung expansion and reduce the risk of aspiration. However, it should be ensured that this angle does not compromise spinal alignment, especially in the early postoperative period.

d.The use of a patient-controlled analgesia (PCA) pump is an appropriate intervention for pain management after scoliosis surgery. It allows the patient to self-administer pain medication within prescribed limits, leading to more effective pain management, improved patient satisfaction, and potentially reduced need for supplemental analgesics.

A. "SIDS is directly correlated with the diphtheria, tetanus, and pertussis vaccines.". B. "Sleep apnea is the main cause of SIDS.". C. "Placing your child on her back when sleeping will decrease the risk of SIDS.". D. "SIDS rates have been rising over the last 10 years.".

Correct Answer is C

Explanation

The American Academy of Pediatrics recommends that infants be placed on their backs to sleep to reduce the risk of SIDS1.
Choice A is not an answer because there is no direct correlation between SIDS and diphtheria, tetanus, and pertussis vaccines

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A nurse is collecting data from an adolescent. Which of the following should the nurse identify as the greatest risk for suicide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for an adolescent who is postoperative following scoliosis repair with Harrington rod instrumentation. Which of the following interventions should the nurse include in the plan of care?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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A nurse is collecting data from an adolescent.

Which of the following should the nurse identify as the greatest risk for suicide?