An adolescent client hospitalized with asphyxiation from a failed ...

[mpobi80]

An adolescent client hospitalized with asphyxiation from a failed suicide attempt tells the nurse, I know other kids have the same problems I do, but I just wanted to make it stop. Which action by the nurse is the most appropriate?
 
  A) Discuss the client's attendance at school and what activities are enjoyed.
  B) Suggest the client listen to music and read a light novel to reduce stress.
  C) Ask if the client would like to talk about stressors and problems.
  D) Ask what is so devastating that the client needed to commit suicide.

Question 2

The nurse receives shift change report on infants born within the last 4 hours. Which newborn should the nurse assess first?
 
  A) Newborn born at 37 weeks gestation. Respiratory rate of 45 breaths per minute.
  B) Term newborn, 2 hours old, who has not passed a meconium stool.
  C) Term newborn born yesterday. Heart rate is 150 beats per minute.
  D) Term newborn born 1 hour ago who is exhibiting grunting respirations.

[aprice35067]

Answer to Question 1

Answer: C

Those who attempt suicide are overcome by and overwhelmed with stressors in their lives. The nurse should ask the client to talk about her stressors and problems. The nurse should not ask the client about what caused the attempt at suicide. The nurse should also not try to distract the client by asking about school and activities. Suggesting the client read and listen to music may not be sufficient to reduce the client's stress.

Answer to Question 2

Answer: D

Grunting respirations are an indication of respiratory distress. This infant needs further assessment and possibly immediate intervention. A normal respiratory rate is 30-60 breaths per minute. A normal pulse is 110-16 beats per minute. If a meconium stool is not passed within the first 24 hours, this would be cause for concern.