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zackseph zackseph
wrote...
Posts: 381
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6 years ago
A client with suicidal impulses is placed on the most stringent level of suicide precautions.
 
  The
  measures the nurse caring for the client should incorporate into the plan of care include (more than
  one answer may be correct)
  A. maintaining arm-length, one-on-one nursing observation around the clock.
  B. allowing no glass or metal on meal trays.
  C. keeping client within visual range while he or she is awake. Check every 15 to 30 minutes while
  the client is sleeping.
  D. checking client whereabouts every 15 minutes and make frequent verbal contacts.
  E. checking whereabouts every hour. Make verbal contact at least three times each shift.
  F. removing all potentially harmful objects from the client's possession.
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Replies
k11
wrote...
6 years ago
A, B, F
Rationale: One-on-one observation is necessary for anyone who has limited control over suicidal
impulses. Plastic dishes on trays and the removal of potentially harmful objects from the client's
possession are measures included in any level suicide precautions. The other options are seen in less
stringent levels of suicide precautions.
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