You are working with an anxious client who states that she is experiencing terror and feeling a loss of control, and you find that her thoughts are disorganized as reflected in her speech
Your assessment is that this client is at which one of the following levels of anxiety? a. mild
b. moderate
c. severe
d. panic
D
In a panic state, the person has feelings of dread or terror and is unable to control her behavior. The individual will experience a sense of awe. She will lose control and become disorganized.
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An older client who was recently admitted to the subacute setting after having a knee replace-ment is very anxious and refuses to get out of bed, stating that it is too painful. Which interven-tion will the nurse implement?
a. Share with the patient that it's important to get out of bed and that there is pain medication available if it does hurt. b. Use the Hoyer lift to get her out of bed so that the knee will not experience much movement and so there will be little pain. c. Offer pain medication, administer the medication, and wait 20 minutes before getting her out of bed. d. Allow the patient to remain in bed, but share that getting up will be required at least twice a day starting the next morn-ing.
The postpartum client has chosen to bottle-feed her infant. Nursing actions that aid in lactation suppression include which of the following?
1. Warm showers 2. Pumping milk 3. Ice packs to each breast 4. Avoiding wearing a bra for 5 to 7 days
Which statement is best to include when teaching a pregnant adolescent about nutritional needs?
1. "You just need to pay attention to what you eat now." 2. "Folic acid intake is the key to having a healthy baby." 3. "It is important eat iron-rich foods like meat every day." 4. "Calcium and milk aren't needed until the third trimester."
A client who is suffering dyspnea on exertion and congestive heart failure will likely report which symptom during the health history?
A. Fatigue B. Swelling of one leg C. Awakening at night to urinate D. Slow heart rate E. Brown discoloration to lower extremities