A nurse is assessing a client who appears to be experiencing moderate anxiety during questioning. Which symptoms might the client demonstrate? Select all that apply
A. Fidgeting
B. Laughing inappropriately
C. Palpitations
D. Nail biting
E. Extremely limited attention span
ANS: A, B, D
The nurse should assess that fidgeting, laughing inappropriately, and nail biting are indicative of heightened stress levels. The client would not be diagnosed with mental illness unless there is significant impairment in other areas of daily functioning. Other indicators of more serious anxiety are restlessness, difficulty concentrating, muscle tension, and sleep disturbance.
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Chest percussion, vibration, and shaking are indicated for clients with:
A. Osteoporosis B. Sternal pain C. Pneumonia D. Severe dyspnea
A child who has Beta-thalassemia is receiving numerous blood transfusions. The child is also receiving deforaxamine (Desferal) therapy. The parents ask how the deforaxamine will help their child
Which of the following is a deforaxamine action that the nurse should convey? 1. Prevents blood transfusion reactions. 2. Stimulates red blood cell production. 3. Provides vitamin supplementation. 4. Prevents iron overload.
Which nursing advocate worked to encourage respect for cultural diversity and was America's first African American professional nurse?
a. Lavinia Dock c. Adelaide Nutting b. Mary Mahoney d. Linda Richards