A patient who is a university student states that before taking an examination he feels a heightened sense of awareness and a sense of restlessness. The nurse should assess the patient's situation as:
a. possible hypoglycemia.
b. possible hyperthyroidism.
c. mild depression.
d. mild anxiety.
D
Mild anxiety is rarely obstructive to the task at hand. It may be helpful to the patient by promoting study and making him more aware of the nuances of questions. The other problems mentioned have quite different symptoms.
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A client presents to the emergency department after prolonged exposure to the cold. The client is difficult to arouse and speech is incoherent. Which action should the nurse take first?
a. Reposition the client into a prone position. b. Administer warmed intravenous fluids to the client. c. Wrap the client's extremities in warm blankets. d. Initiate extracorporeal rewarming via hemodialysis.
The nurse is caring for a client who has an order for Lofstrand crutches to assist with mobility. The client asks what the crutch looks like. Which description of the crutch by the nurse is the most accurate?
1. It rests just under the axilla with a hand bar. 2. It has a cuff for the upper arm. 3. It extends to the forearm and has a metal cuff around the forearm to stabilize the wrist. 4. It has a rubber tip to prevent slippage on a floor surface.
A healthy 28-year-old who has been vaccinated against human papillomavirus (HPV) has a normal Pap test. Which information will the nurse include in patient teaching when calling the patient with the results of the Pap test?
a. You can wait until age 30 before having another Pap test. b. Pap testing is recommended every 3 years for women your age. c. No further Pap testing is needed until you decide to become pregnant. d. Yearly Pap testing is suggested for women with multiple sexual partners.
The nurse is having lunch with colleagues from a medical-surgical unit. One of the medical-surgical nurses states, "I don't know how you can work with psych patients! They scare the heck out of me.". How should the nurse respond?
A) "The clients I work with have physical disorders just like the clients you work with.". B) "I don't know, sometimes I wonder what I am doing.". C) "It's not that bad, and most of the clients are not that scary.". D) "I must have better nursing skills than you.".