A young adult client is brought to the emergency department with a suspected drug overdose. Which information is most important for the nurse to obtain from the family?
Reason for the suicide attempt.
The drug that was ingested.
The time since drug ingestion.
Past history of depression.
The Correct Answer is B
A) While understanding the reason for the suicide attempt can provide important context, it is not as critical in the immediate management of a suspected overdose as knowing the specifics of what was ingested.
B) Identifying the drug that was ingested is the most important information for the nurse to obtain. Knowing the specific substance allows for appropriate and timely treatment, including the administration of antidotes if applicable and understanding potential complications.
C) The time since drug ingestion is also relevant, as it can influence treatment decisions and urgency. However, without knowing the specific drug, it may be challenging to determine the best course of action.
D) A past history of depression is important for the overall understanding of the client's mental health, but it does not have immediate implications for managing an overdose. The priority is to address the acute medical situation first.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Why do you think you have a hostile work environment?:Asking this question might come across as dismissive or challenging the client’s perception of their experience. It is important to validate the client’s feelings and experiences rather than questioning their interpretation of the situation.
B) How have you responded to those in your work environment about these events?:This response encourages the client to reflect on their actions and coping strategies. It shows empathy and interest in understanding the client’s perspective and experiences, which can help build rapport and provide valuable insights for further discussion and support.
C) Have you considered resigning from your position?:Suggesting resignation might not be appropriate at this stage, as it could increase the client’s stress and anxiety. It is important to explore the client’s feelings and experiences first before discussing potential solutions or changes in their employment situation.
D) Have the feelings associated with these events brought you to the clinic?:While this question acknowledges the client’s feelings, it may not provide an opportunity for the client to elaborate on their experiences and coping strategies. It is important to focus on understanding the client’s actions and responses to the events they described.
Correct Answer is C
Explanation
A) Moving to a quiet area and providing peanut butter with crackers may help address the client’s nutritional needs, but it may not adequately address the client’s agitation and pacing. The immediate priority is to stabilize the client’s behavior before focusing on nutrition.
B) Encouraging the spouse to eat lunch with the client may create an opportunity for social interaction, but it might not be effective in calming the client’s agitation. If the client is already highly agitated, the spouse's presence alone may not help diffuse the situation.
C) Walking with the client to the cafeteria and staying while the client eats is the best intervention at this time. This approach allows the nurse to provide a calming presence and guidance while encouraging the client to eat. It also helps redirect the client's energy and agitation into a structured activity, promoting both physical movement and nutrition, which is crucial after several days without food.
D) Requesting a full lunch tray from the dietary department could provide a more substantial meal; however, it might not address the immediate need for calming the client. If the client remains agitated and loud, it may be challenging to ensure that they can eat peacefully, making this intervention less effective than accompanying the client directly to eat.
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