The nurse working with a client who experiences chronic anxiety is teaching anxiety-reduction strategies. Which is the best direction for the nurse to give?
1. "Focus your mind on the anxiety-producing situation."
2. "Imagine yourself in a quiet, peaceful place."
3. "Focus your attention on the whole room."
4. "Think about being in a large crowd."
ANS: 2
Visual imagery is the only anxiety-management strategy mentioned in these options.
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A client is experiencing itching and is being assessed by the nurse. The nurse notes raised reddish areas with irregular borders on the client's arm. The nurse should:
1. ask the client about sun exposure. 2. ask the client about past cancer of the skin. 3. inquire about allergies to substances. 4. ask the client how the arm got injured.
Why should a patient taking tetracycline be advised to avoid exposure to direct sunlight?
A patient develops anaphylactic shock in response to eating something that has caused an allergic response in the past. What physiologic changes should the nurse expect to observe in this patient? (Select all that apply.)
a. Weak pulse b. Muscle pain c. Stomach cramps d. Nausea and vomiting e. Drop in blood pressure
When teaching about wound care in the home environment, the nurse instructs the patient and caregiver to:
a. make normal saline with 8 teaspoons of salt and .1 gallon of distilled water. b. use normal saline for 1 week and then discard it. c. not apply topical anesthetics before wound care. d. call the physician's office to have someone come to the home and complete the wound care.