A nurse is planning care for a client who recently attempted suicide. Which of the following actions should the nurse plan to take?
Ensure the client swallows each dose of medication.
Limit the personal toiletries in the client's room to cologne.
Keep the client's door shut when they are in the room.
Observe the client's behavior every 2 hr.
The Correct Answer is A
The correct answer is A.
Ensure the client swallows each dose of medication. A client who recently attempted suicide is at high risk of another suicide attempt and needs closemonitoring and supervision. The nurse should ensure that the client swallows each dose of medication to prevent hoarding or overdosing on pills. The nurse should also remove any potential means of self-harm from the client's room, such as sharp objects, belts, cords, or cologne that contains alcohol. The nurse should keep the client's door open or use a window to observe them at all times, not just every 2 hours.
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Related Questions
Correct Answer is D
Explanation
Answer: D. Apply support stockings.
Rationale: Support stockings can help reduce ankle edema by promoting venous return and preventing fluid accumulation in the lower extremities. Diuretics, bedrest, and fluid restriction are not recommended for pregnant clients with ankle edema as they can cause dehydration, thromboembolism, and fetal compromise.
Correct Answer is B
Explanation
The correct answer is choice b. “I should discuss this document with my family after I sign it.”
Choice A rationale:
This statement is incorrect. Advance directives can be updated or changed at any time by the individual, as long as they are still competent to make their own decisions.
Choice B rationale:
Discussing the advance directive with family members is important to ensure that everyone understands the client’s wishes and can support them in making healthcare decisions.
Choice C rationale:
This statement is incorrect. While it can be helpful to have a partner or family member present when signing the document, it is not a requirement for the validity of the advance directive.
Choice D rationale:
This statement is incorrect. An advance directive does not need to be notarized by an attorney to be valid. It typically needs to be signed by the individual and witnessed by others.
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