Practice Quiz

NCLEX-PN

Category - Psychosocial Integrity

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The nurse is assigned to monitor an 18-year-old male client who is admitted after the overingestion of acetaminophen (Tylenol). The client informs the nurse that he needs to go to the bathroom. Which of the following actions by the nurse is the least appropriate?
  1. Remove potentially dangerous objects inside the bathroom
  2. Accompany the client inside the bathroom
  3. Check the bathroom for any dangerous or unfixed conditions
  4. Give privacy by allowing the client to use the bathroom for 5 minutes
Explanation
Answer: D - A client who recently attempted suicide should never be left alone. The nurse should remove any object that can cause harm. Checking the bathroom for any dangerous condition, which the client may utilize to complete the suicide inside the bathroom, is also essential.
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