Susan, the nurse is caring for a client who states "I plan to commit suicide." Which of the following assessments should the nurse identify as the priority?

Lethality of the method and availability of means

Client's educational and economic background

Client's insight into the reasons for the decision.

Quality of the client's social support

Answer and Explanation

The Correct Answer is A

A. Lethality of the method and availability of means. Assessing the method and means helps determine the immediacy and seriousness of the threat. Knowing the lethality of the method and whether the means are readily available informs the level of intervention needed to keep the client safe.

B. Client's educational and economic background: While socioeconomic factors can influence mental health, they are not immediate priorities in a suicidal crisis.

C. Client's insight into the reasons for the decision: Insight is important for understanding motivations but is secondary to immediate safety concerns.

D. Quality of the client's social support: Social support is crucial but is secondary to assessing imminent risk of harm.

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Correct Answer is A

Explanation

A. "Take this medication before a meal or several hours after a meal." Levothyroxine absorption can be affected by food, so it's generally recommended to take it on an empty stomach to ensure consistent absorption. Food, particularly high-fiber or calcium-rich foods, can interfere with levothyroxine absorption, hence taking it before meals or a few hours after meals helps optimize its effectiveness.

B. "Take this medication during your morning meal.": This may not ensure consistent absorption as food can still interfere with medication absorption.

C. "Take this medication with a full glass of water or fruit juice.": While water is recommended for swallowing pills, it doesn't address timing or food interactions.

D. "Take this medication with high-protein foods.": Protein content in food does not affect levothyroxine absorption directly.

Correct Answer is ["0.25"]

Explanation

Dopamine infusion calculation based on weight and concentration.

Dopamine dose ordered: 3 mcg/kg/min
Dopamine concentration: 600 mg in 1000 mL (or 600 mcg/mL)
Client's weight: 110 pounds (converted to kg: 110 lbs / 2.2 = 50 kg)

Calculations:

mcg/min = 3 mcg/kg/min × 50 kg = 150 mcg/min
mcg/hr = 150 mcg/min × 60 min/hr = 9000 mcg/hr
mL/hr = 150 mcg/min / 600 mcg/mL = 0.25 mL/hr

Answers:

mcg/min = 150 mcg/min
mcg/hr = 9000 mcg/hr
mL/hr = 0.25 mL/hr

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Susan, the nurse is caring for a client who states "I plan to commit suicide." Which of the following assessments should the nurse identify as the priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has hypothyroidism and has been prescribed levothyroxine. Which of the following medication instructions would the nurse include in the teaching?

Correct Answer is A

Explanation

Administer a continuous Dopamine infusion at 3 mcg/kg/min. The drug is available as 600 mg in 1000 ml of fluid. The client's weight is 110 pounds. Calculate mcg/min, mcg/hr, and ml/hr. (Include unit of measure with each answer)

Correct Answer is ["0.25"]

Explanation

A nurse is assessing a child. The nurse should identify which of the following findings puts the child at risk for the development of conduct disorder?

Administer Dopamine 3 mcg/kg/min. The client weighs 176 pounds. The drug is available as 500 mg in 250 mL of fluid. Calculate mcg/min, mcg/hr, and mL/hr. (Do not round your answer and include unit of measure with each answer)

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A nurse is providing teaching to a client about hypothyroidism. Which of the following potentially fatal conditions associated with hypothyroidism will the nurse include?

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