The nurse is caring for a client in the intensive care unit. This client is at risk for sensory overload, which can manifest in the following manner: Standard Text: Select all that apply
1. Decreased attention span
2. Irritability
3. Scattered attention
4. Hallucinations
5. Emotional lability
2,3
Rationale: Decreased attention span is a common manifestation of sensory deprivation.
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The nurse is caring for a client who was involved in a motor vehicle accident and experienced blunt force trauma to the chest because she did not have a seat belt on and her chest impacted with the steering wheel
The nurse monitors the client for: 1. Hypovolemic shock. 2. Cardiogenic shock. 3. Septic shock. 4. Neurogenic shock.
A client is diagnosed with IAD. Which of the following symptoms is the client most likely to exhibit? (Select all that apply.)
1. Obsessive-compulsive behaviors 2. Pseudocyesis 3. Anxiety 4. Flat affect 5. Depression
Which of the following has been a common result in countries with a severe HIV/AIDS epidemic?
a. Birth rate is high, but life expectancy is only 35 to 40 years. b. Free clinics have begun distributing condoms to stop the spread. c. International aid has begun to lower the infection rates. d. Missionaries are establishing orphanages within their churches.
A patient taking highly active antiretroviral therapy (HAART) for a year has the following blood laboratory test values. Which value does the nurse report to the prescriber immediately?
a. White blood cell count 3500 cells/mm3 b. Lactate dehydrogenase 990 IU/L c. Sodium 132 mEq/L d. Hematocrit 32%