The nurse cares for a successful chemical engineer, age 29 years, who is admitted with a respiratory infection. The client reports feeling more stress than ever since a job promotion six months ago and asks,
Why would something so positive and wonderful cause so much stress for me? Which is an appropriate response by the nurse? Select all that apply.
A) All major life events can cause stress for us.
B) People vary greatly in their perception of what constitutes a crisis or stressor.
C) Your job promotion probably has nothing to do with the stress you feel.
D) Positive life events do not cause stress or illness.
E) Even positive life events can affect us in negative ways.
Ans: A, B, E
People vary greatly in their perception of what constitutes a crisis or stressor, as well as the degree to which such experiences might disrupt or diminish self-concept. Major stressors place anyone at relative risk for maladaptive responses such as withdrawal, isolation, depression, extreme anxiety, substance abuse, or exacerbation of physical illness. It is true that even positive events, such as marriage, a new baby, or a job promotion can place us at risk for great stress and all that goes with us. The client's promotion probably has a great deal to do with her stress level.
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A nurse teaches a client who is scheduled for a positron emission tomography scan of the brain. Which statement should the nurse include in this client's teaching?
a. "Avoid caffeine-containing substances for 12 hours before the test." b. "Drink at least 3 liters of fluid during the first 24 hours after the test." c. "Do not take your cardiac medication the morning of the test." d. "Remove your dentures and any metal before the test begins."
A client presents to the emergency department reporting severe abdominal pain. On assessment, the nurse finds a bulging, pulsating mass in the abdomen. What action by the nurse is the priority?
a. Auscultate for bowel sounds. b. Notify the provider immediately. c. Order an abdominal flat-plate x-ray. d. Palpate the mass and measure its size.
The patient who experiences nausea produces less stomach acid. The nurse recognizes this as having what effect?
A) Increases the feeling of nausea B) Protects the lining of the upper GI tract C) Stimulates the parasympathetic nervous system D) Directs fluid to mucus production in the small bowel
A patient with Crohn's disease is demonstrating the nursing diagnosis Imbalanced Nutrition: Less than Body Requirements. What intervention should the nurse include in this patient's plan of care?
1. A low-calorie, high-milk diet 2. A low-calorie, low-residue diet 3. The DASH diet 4. A normal, well-balanced diet