A client is experiencing a severe panic attack. Which nursing intervention would meet this client's physiological need?
1. Teach deep breathing relaxation exercises.
2. Place the client in a Trendelenburg position.
3. Have the client breathe into a paper bag.
4. Administer the ordered prn buspirone (BuSpar).
3
Rationale: The nurse can meet this client's physiological need by having the client breathe into a paper bag. Hyperventilation may occur during periods of extreme anxiety. Hyperventilation causes the amount of carbon dioxide (CO2) in the blood to decrease, possibly resulting in lightheadedness, rapid heart rate, shortness of breath, numbness or tingling in the hands or feet, and syncope. If hyperventilation occurs, assist the client to breathe into a small paper bag held over the mouth and nose. Six to twelve natural breaths should be taken, alternating with short periods of diaphragmatic breathing.
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Which action should the nurse take to relax the vastus lateralis muscle before administering an intramuscular injection into the site?
a. Apply a warm compress. b. Massage the site in a circular motion. c. Apply a soothing lotion. d. Have the client assume a sitting position.
The nurse is implementing a plan of care for a restorative patient. Which of the following would be an intervention within this plan of care?
a. Lift patient from bed to wheelchair b. Instruct in urinary self-catheterization c. Provide complete bed bath every day d. Monitor intake and output
A 1-year-old is brought into the clinic for a well check. Her birth weight was 8 pounds. If she is following normal growth and development patterns, what should her weight be at this point in her life?
A) 32 pounds B) 20 pounds C) 24 pounds D) 16 pounds
How would a registered nurse become a forensic nurse? (Select all that apply.)
a. No additional education is needed after obtaining an undergraduate nursing degree b. Complete additional course work in police science c. Enroll in a certificate program for forensic nursing d. Select a graduate program that offers a track in forensic nursing e. Complete a nurse practitioner program