A client is brought to the emergency department with rapid breathing after learning of a family member being killed in a house fire. What should the nurse do first to help this client?
A) Coach to slow the breathing.
B) Move to a quiet, calm environment.
C) Provide a sedative.
D) Ask for a psychiatric consultation.
Answer: B
Nursing care is focused on reducing anxiety through manipulation of the environment to reduce stimuli and to create a sense of peace. This restful environment will help the client breathe more slowly and effectively. Once the environment is controlled, the nurse can begin to implement interventions to help the client slow the breathing rate. A sedative may be prescribed; however, this would not be the first intervention. A psychiatric consult might be indicated for someone with a history of anxiety or panic attacks that lead to the development of respiratory alkalosis. Since this client has had a shock, a psychiatric consultation would not be indicated at this time.
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A client has severe manifestations of an autosomal dominant disorder. The client's father is also affected by the disorder, but to a lesser degree. How would the nurse interpret this phenomenon?
1. The mother must have an unexpressed form of the disorder. 2. In this situation the child usually manifests the disorder at an older age than did the parent. 3. This situation is an example of genetic anticipation. 4. Environmental influences must have exacerbated the expression of the genetic tendency in the child.
The condition in which a person's mechanism to regulate body temperature has failed is:
1. Dehydration 2. Fever 3. Heat exhaustion 4. Heatstroke
The nurse is teaching a client about the structures of the GI tract. Which structures should the nurse include in the teaching session? (Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected. 1. Stomach 2. Liver 3. Large intestine 4. Pancreas 5. Gallbladder
Which of the following statements about the prevention of sexually transmitted diseases is true? Select all that apply
A) Many persons who have HIV infection can stave off AIDS by the use of medications during the HIV stage of the spectrum. B) Screening programs have actually reduced the incidence of Chlamydia as infected persons are identified and treated. C) The proper use of condoms prevents transmission of all sexually transmitted infections. D) Expedited partner treatment can prevent the spread of Chlamydia and gonorrhea. E) It is not possible for a person who has a HSV-2 infection to transmit the infection to other sex partners if sexual contact is only practiced when the person does not have any visible sores.