A client with suicidal impulses is on the highest level of suicide precautions. Which measures should the nurse incorporate into the client’s plan of care? (Select all that apply) 

The nurse is caring for a client who suddenly experiences chest pain and hypoxemia. The physician suspects a pulmonary embolism and orders a ventilation-perfusion scan (VIQ scan). Which information given by the nurse is appropriate?

The nurse wants to teach alternative coping strategies to a client who is experiencing severe anxiety. Which action will the nurse do first?

The nurse is teaching a client who is prescribed to receive a monoamine oxidase inhibitor (MAO inhibitor) for the treatment of major depression. Which statements by the client indicates teaching is effective?   (Select all that apply.)

The nurse is reviewing newly written prescriptions for a client admitted with depression characterized by anxiety and addictive behaviors.  Which medication will the nurse anticipate implementing?

In a team meeting, a nurse says, “I’m concerned whether we are behaving ethically by using restraint to prevent one patient from self-mutilation while the care plan for another patient who has also self-mutilated calls for one-on-one supervision.” Which ethical principle most clearly applies to this situation?

The nurse is preparing discharge instructions for a client diagnosed with anxiety.   What data should the nurse include in the instructions that would indicate a medication side effect to the prescribed benzodiazepine?

The nurse is admitting a client with a history of heavy alcohol consumption.  The clients last drink was 48 hours ago.  Which observation by the nurse indicates possible delirium tremens (DTs)?

The nurse is treating a client in the emergency department who reports taking fluphenazine to treat schizophrenia. The nurse notes rigid muscles, excessive diaphoresis and an altered mental status. The client has a temperature of 105.6° F, a heart rate of 109 beats per minute, a respiratory rate of 29, and a blood pressure of 90/58 mm Hg.  Which medication will the nurse anticipate administering?

Nursing care for the substance abuse client experiencing alcohol withdrawal delirium includes: