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.
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