A nurse is trying to determine whether Mrs. Simpson is exhibiting symptoms of depression or of her medical illness. Which of the following group of symptoms would indicate to the nurse that Mrs
Simpson may be experiencing depression in addition to being medically ill?
A) Problems sleeping, decreased appetite, and frequent crying
B) Low self-esteem, decreased appetite, and problems sleeping
C) Feeling guilty, difficulty making decisions, and low self-esteem
D) Loss of energy, difficulty making decisions, and problems sleeping
C
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The nurse gets the hand-off report on four clients. Which client should the nurse assess first?
a. Client with a blood pressure change of 128/74 to 110/88 mm Hg b. Client with oxygen saturation unchanged at 94% c. Client with a pulse change of 100 to 88 beats/min d. Client with urine output of 40 mL/hr for the last 2 hours
A 48-year-old woman tells the nurse, "I missed my period last month. Am I in menopause?" The nurse knows that at which point is a woman considered to be menopausal?
a. Her periods have stopped for 1 year. b. Her periods have been irregular and light for 12 months. c. She has symptoms of vasomotor instability. d. She experiences symptoms of decreased estrogen, such as dyspareunia.
In the adult, the apical impulse should be most visible when the patient is in what position?
a. Supine b. Upright c. Lithotomy d. Right lateral recumbent
The nurse is assessing a patient with chronic pain and learns the patient is not able to sleep through the night. The nurse realizes this patient is demonstrating which problem?
1. The inability to cope with pain 2. A side effect of chronic pain medication use 3. Sleep deprivation because of poor pain control 4. Lying as a way to be prescribed more pain medication without an identified need