A patient became acutely anxious and hysterical in response to the stress of the patient's home being destroyed by fire the previous evening. A nurse assesses the patient's treatment stage as:
a. crisis.
b. acute.
c. maintenance.
d. health promotion.
A
The crisis stage occurs in the first days to weeks after a stressful event.
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A client in hospice care has received large doses of morphine but is still unable to sleep. The nurse should administer which adjuvant drug?
1. Lisinopril (Zestril) 2. Acetaminophen (Tylenol) 3. Meperidine (Demerol) 4. Amitriptyline (Elavil)
A menopausal woman tells the nurse that she finds intercourse uncomfortable. What action should the nurse take?
a. Encourage her to abstain from intercourse to prevent trauma to the vagina. b. Recommend the use of water lubricants prior to intercourse. c. Ask to speak with the woman's husband concerning her problem. d. Request that the physician increase the dosage of estrogen replacement.
Which finding would indicate an adverse response to terbutaline (Brethine)?
a. Fetal heart rate (FHR) of 134 bpm b. Heart rate of 122 bpm c. Two episodes of diarrhea d. Fasting blood glucose level of 100 mg/dL
Which action by the nurse will allow bruits to be heard most accurately?
1) Using a fetoscope 2) Using the diaphragm of the stethoscope 3) Using the bell of the stethoscope 4) Using the unassisted ear