During an admission assessment, a client reports currently using heroin. Which information is most important for the nurse to consider in the plan of care?
Family history of schizophrenia.
History of suicide attempts.
Undiagnosed social anxiety symptoms (SAD).
Feelings of disorientation.
The Correct Answer is B
A. Family history of schizophrenia is relevant but not immediately critical.
B. A history of suicide attempts indicates a high risk of self-harm and requires immediate attention in the plan of care.
C. Social anxiety symptoms are important but not as critical as addressing suicide risk.
D. Disorientation needs assessment but is not as urgent as managing suicide risk.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Storing zolpidem at room temperature is appropriate, but it is not the primary educational point.
B. Zolpidem should be taken on an empty stomach to ensure optimal absorption, not with a meal.
C. Crushing zolpidem is not recommended as it can alter the drug's release and effectiveness.
D. Taking zolpidem before bedtime is correct as it is a sleep aid and should be taken when the client can go to sleep shortly after taking it.
Correct Answer is D
Explanation
A. While impaired comfort is a concern, the priority is to address potential neurovascular compromise.
B. Impaired skin integrity is a concern but not the most immediate issue given the symptoms described.
C. Risk for infection is important but secondary to the acute concern of neurovascular function.
D. Risk for peripheral neurovascular dysfunction is the highest priority as it indicates potential compartment syndrome or other serious complications requiring urgent intervention.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.