A client, who experienced shortness of breath, tachycardia, profuse diaphoresis, and trembling learns that all cardiac diagnostic tests are negative for an acute myocardial infarction
During the assessment, the nurse is told about a major problem that has caused the client great concern over the last two months. The nurse interprets this information as being consistent with which anxiety disorder?
1. Social
2. Generalized
3. Panic
4. Obsessive-compulsive
Correct Answer: 3
Rationale 1: Social anxiety disorder is an unreasonable and persistent fear of crowds or of being ridiculed or embarrassed in public. Panic attacks can occur when the person encounters his phobia.
Rationale 2: Generalized anxiety disorder (GAD) is excessive anxiety that persists for six months or longer. The characteristic feature of GAD is excessive worry or fear regarding life events or activities.
Rationale 3: Panic disorder is a type of anxiety characterized by intense feelings of immediate apprehension, fearfulness, terror, or impending doom, accompanied by increased autonomic nervous system activity such as sweating, racing heart rate, shortness of breath, and trembling. The client must experience at least 1 month of ongoing concern or worry.
Rationale 4: Obsessive-compulsive disorder (OCD) involves recurrent, intrusive thoughts or repetitive behaviors. To be diagnosed with OCD, the behavior or thought must occupy more than 1 hour each day and negatively impact the client's normal daily activities or relationships.
Global Rationale: Panic disorder is a type of anxiety characterized by intense feelings of immediate apprehension, fearfulness, terror, or impending doom, accompanied by increased autonomic nervous system activity such as sweating, racing heart rate, shortness of breath, and trembling. The client must experience at least 1 month of ongoing concern or worry. Social anxiety disorder is an unreasonable and persistent fear of crowds or of being ridiculed or embarrassed in public. Panic attacks can occur when the person encounters his phobia. Generalized anxiety disorder (GAD) is excessive anxiety that persists for six months or longer. The characteristic feature of GAD is excessive worry or fear regarding life events or activities. Obsessive-compulsive disorder (OCD) involves recurrent, intrusive thoughts or repetitive behaviors. To be diagnosed with OCD, the behavior or thought must occupy more than 1 hour each day and negatively impact the client's normal daily activities or relationships.
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When epistaxis has been controlled, the nurse instructs the patient to: (Select all that apply.)
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The nurse preparing a client for a bronchoscopy would include information about its (Select all that apply)
a. ability to visualize gas exchange at the alveolar level. b. limitation of not being able to take tissue biopsies. c. therapeutic use to remove retained secretions. d. usefulness in diagnosing tumors, inflammation, and strictures.
The nurse observes a prominent U wave present on a client's ECG tracing. What is the nurse's interpretation of this finding?
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