A client denying suicidal ideations comes into the emergency department complaining about insomnia, irritability, anorexia, and depressed mood. Which interventions would the nurse implement first?

Case Study A 19-year-old client is treated in the ED for an overdose. This is the client’s second suicide attempt in the last 6 months, and it is determined that she is at high enough risk of self- harm to warrant an involuntary admission to the behavioral health unit.  The 19-year-old- female was treated in the emergency department for an oxycodone overdose. Nurses’ Notes     1700. The client was brought to the emergency department by ambulance accompanied by her brother. Client’s brother found the client unconscious on the bathroom floor with an empty oxycodone bottle. The brother reports the client is struggling with moderate depression after the sudden loss of their mother, and this is the client’s second suicide attempt in the last 6 months.  Client’s brother reports he is very anxious about the client returning home because there are guns in the house. Yesterday he overheard her say that she had a plan to use the gun to end it all.  The client was treated with naloxone in the ambulance. Upon arrival the client is lethargic and confused. Second dose of naloxone given for respiratory rate < 12.   1800. Respiratory status has improved. Client is alert, oriented, but agitated and is pacing in room. Admits the overdose was intentional and stated, “I just want it to be over.” Client is voicing concerns about being in the ED and is looking at the sharp’s container on the wall. States she has no insurance and “won’t talk to those people again.”   Vital Signs     Time 1700 1800   Temp 98.6F/37C 98.0/36/7C   P or HR 50 65   RR 9 12   B/P 100/65 111/75   Pulse oximeter 92% 95%   Pain 0 0     Which of the findings are most urgent?

A physician prescribes lithium carbonate for a client diagnosed with bipolar disorder. which of the following topics should the nurse cover when teaching the client about this medication? Select all that apply. 

Case Study The 19-year-old- female is treated in the emergency department for an oxycodone overdose. Nurses’ Notes     1700. The client was brought to the emergency department by ambulance accompanied by her brother. Client’s brother found the client unconscious on the bathroom floor with an empty oxycodone bottle. The brother reports the client is struggling with moderate depression after the sudden loss of their mother, and this is the client’s second suicide attempt in the last 6 months.  Client’s brother reports he is very anxious about the client returning home because there are guns in the house. Yesterday he overheard her say that she had a plan to use the gun to end it all.  The client was treated with naloxone in the ambulance. Upon arrival the client is lethargic and confused. Second dose of naloxone given for respiratory rate < 12.   1800. Respiratory status has improved. Client is alert, oriented, but agitated and is pacing in room. Admits the overdose was intentional and stated, “I just want it to be over.” Client is voicing concerns about being in the ED and is looking at the sharp’s container on the wall.  States she has no insurance and “won’t talk to those people again.”   Vital Signs     Time 1700 1800   Temp 98.6F/ 37C 98.0/36.7C   P 50 65   RR 9 12   B/P 100/65 111/75   Pulse oximeter 92% 95%   Pain 0 0     The toxicology report returns and is positive for oxycodone. Select all answers that are a risk for suicide.

The client is having delusions and believes he gets messages from God. What cognitive characteristics would the nurse expect the client to exhibit? 

What is the priority instruction that the nurse gives to the client taking Amitriptyline regarding when to call the physician? 

Case Study The 19-year-old- female was treated in the emergency department for an oxycodone overdose. Nurses’ Notes     1700. The client was brought to the emergency department by ambulance accompanied by her brother. Client’s brother found the client unconscious on the bathroom floor with an empty oxycodone bottle. The brother reports the client is struggling with moderate depression after the sudden loss of their mother, and this is the client’s second suicide attempt in the last 6 months.  Client’s brother reports he is very anxious about the client returning home because there are guns in the house. Yesterday he overheard her say that she had a plan to use the gun to end it all.  The client was treated with naloxone in the ambulance. Upon arrival the client is lethargic and confused. Second dose of naloxone given for respiratory rate < 12.   1800. Respiratory status has improved. Client is alert, oriented, but agitated and is pacing in room. Admits the overdose was intentional and stated, “I just want it to be over.” Client is voicing concerns about being in the ED and is adamant she will not stay.  States she has no insurance and “won’t talk to those people again.”   1900. Client refuses to be admitted to the behavioral health unit. Provider notified.   1930. Emergency detention order obtained.   Vital Signs     Time 1700 1800 1830   Temp 98.6F/37C 98.0/36.7C 98.2F/36.7C   P or HR 50 65 80   RR 9 12 14   B/P 100/65 111/75 120/86   Pulse oximeter 92% 95% 98%   Pain 0 0 0   Laboratory report         Lab Results Reference range Urine tox Positive for Oxycodone Negative Orders     1. Implement Suicide Precautions 2. Suicide Risk Assessment Q1H 3. Implement 1:1 Observer 4. Transfer to behavioral health   The client refuses to be admitted to the behavioral health unit and an emergency detention order for involuntary admission to the behavioral health unit is obtained.  What should the nurse teach the client about the process of an involuntary psychiatric admission? Select all that apply

A client is started on chlorpromazine. The nurse instructs him about side effects. The nurse would know that the instructions were most effective if the client:

The nurse assessing a client experiencing a manic episode of  bipolar disorder would expect to see what symptoms? Select all that apply.  

A 50 nF capacitor is being charged up by a battery. Initially, the resistor has 0.1 A of current flowing through it, and after some amount of time this falls to 0.02 A. At this time, the capacitor has been charged up to 200 nC. What is the voltage of the battery?