An anxious patient has distorted perceptions and ineffective reasoning. On an anxiety rating scale, the nurse would expect to record the patient's level of anxiety as:
a. mild, +1.
b. moderate, +2.
c. severe, +3.
d. panic, +4.
C
Cognitive symptoms of severe anxiety include distorted perceptions, difficulty focusing, and ineffective reasoning. Other symptom constellations relate to the other levels.
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A client is admitted with possible sepsis. Which action should the nurse perform first?
a. Administer antibiotics. b. Give an antipyretic. c. Place the client in isolation. d. Obtain specified cultures.
A baby was born 4 days ago at 34 weeks' gestation and is receiving phototherapy for neonatal jaundice. The baby has symptoms of temperature instability, dry skin, poor feeding, lethargy, and irritability
What are the nurse's priority nursing interventions? (Select all that apply.) A. Assess the baby's temperature to check for hypothermia. B. Check to make sure the infant's face mask stays in place. C. Educate the mother to feed the child every 2 hours. D. Verify laboratory results to check for hypoglycemia. E. Verify laboratory results to check for hypomagnesemia.
An older adult female comes into the clinic to be seen for urinary incontinence. Which conclusion by the nurse is the most appropriate?
1. Is common with aging. 2. Often occurs as a secondary problem. 3. Indicates decreased renal blood flow. 4. Is related to medications.
A client asks the nurse about her vital signs, and the nurse refuses to provide the client with this information. This is an example of a breach in:
a. justice c. veracity b. nonmaleficence d. beneficence